{"id":1318,"date":"2016-02-09T14:06:33","date_gmt":"2016-02-09T14:06:33","guid":{"rendered":"https:\/\/niemanstoryboard.org\/2016\/02\/09\/annotation-tuesday-elizabeth-weil-and-what-really-happened-to-baby-johan\/"},"modified":"2024-03-04T20:51:24","modified_gmt":"2024-03-04T20:51:24","slug":"annotation-tuesday-elizabeth-weil-and-what-really-happened-to-baby-johan","status":"publish","type":"post","link":"https:\/\/niemanstoryboard.org\/2016\/02\/09\/annotation-tuesday-elizabeth-weil-and-what-really-happened-to-baby-johan\/","title":{"rendered":"Annotation Tuesday! Elizabeth Weil and &#8220;What Really Happened to Baby Johan?&#8221;"},"content":{"rendered":"    \n    <div class=\"  core-block\">\n        <div class=\"block block--core block--core-html mb-5   max-w-screen-full mx-auto\">\n            <a href=\"http:\/\/www.elizabethweil.net\/\" target=\"_blank\" rel=\"noopener\">Elizabeth Weil<\/a>\u00a0had never written about criminal justice, but when asked to write about a controversial case of whether a baby was killed by his father, she produced the gripping &#8220;<a href=\"https:\/\/medium.com\/matter\/what-really-happened-to-baby-johan-88816c9c7ff5#.l2f2ikb1m\" target=\"_blank\" rel=\"noopener\">What Really Happened to Baby Johan?<\/a>&#8221; Her story raises questions about the line between accident, murder and malpractice, and the reasons why certain cases come to trial at all.<br \/><br \/>Weil\u00a0is a contributing writer for The New York Times Magazine and also writes for Outside, The New Republic, Matter and Vogue. Her stories range across a wide set of topics, but often involve the twists and turns of family life. The essay on being a refugee she co-authored with Clemantine Wamariya, &#8220;Everything Is Yours, Everything Is Not Yours,&#8221; was a finalist for a 2016 National Magazine Award, and her story &#8220;The Woman Who Walked 10,000 Miles (No Exaggeration) in Three Years&#8221; won a 2015 Lowell Thomas Travel Journalism Award. She&#8217;s the author of &#8220;No Cheating, No Dying&#8221; and co-wrote the best-selling &#8220;Off the Sidelines&#8221; with Sen. Kirsten Gillibrand.<br \/><br \/><figure id=\"attachment_122001\" aria-describedby=\"caption-attachment-122001\" style=\"width: 222px\" class=\"wp-caption alignright\"><a href=\"https:\/\/niemanstoryboard.org\/app\/uploads\/2024\/03\/cropped-author-photo.jpeg\"><img loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-122001\" src=\"https:\/\/niemanstoryboard.org\/app\/uploads\/2024\/03\/cropped-author-photo-222x300.jpeg\" alt=\"A Caucasian woman, brunette with brown eyes, smiles gently\" width=\"222\" height=\"300\" \/><\/a><figcaption id=\"caption-attachment-122001\" class=\"wp-caption-text\">Elizabeth Weil<\/figcaption><\/figure><br \/><h6>Storyboard: What is the genesis of this piece? Did you initiate the idea? Or did you receive it as an assignment from an editor? Either way, why did it run here rather than a different outlet where you have published?<\/h6><br \/>Weil: Mark Lotto, the editor of Matter, called and asked me if I wanted to write the piece. It had a bit of a complicated back story. Bear with me: Mark\u2019s boss, Edward Lichty, is married to the writer Kelly Corrigan. Kelly had some friends in common with Jennie and Kristian, the subjects of this piece. Kelly spent an afternoon with Jennie, hearing her story, as Jennie wanted her story told. But Kelly ended up feeling this was a topic that needed a journalist, not a memoirist or fiction writer. So Kelly talked to Edward and Edward talk to Mark and Mark passed the story along to me.<br \/><h6>Had you written previously about a flawed criminal justice system? Did you have prior knowledge of shaken baby syndrome?<\/h6><br \/>I hadn\u2019t ever written directly about flaws in the criminal justice system. I\u2019d written one piece on lethal injection and what an awful mess it is, and one piece about a wrongful birth lawsuit, but that was really about ethics, not crime. This was my first real crime piece.<br \/><h6>Did you need to wrestle with a word count limit?<\/h6><br \/>Not really \u2014 that\u2019s the beauty of writing for an online-only publication! But I also didn\u2019t want the piece to sprawl. I was pretty worried about getting people to read about a dead baby, period, let alone 10,000 words about a dead baby. So we tried to keep it to 8,000 words, which is still really long.<br \/><h6>How does this piece fit into your overall body of published pieces?<\/h6><br \/>God, that&#8217;s a hard question. Sometimes I feel like my body of work, which I never really think about in those terms \u2014 somehow that feels pretentious; I just write magazine articles, for the most part \u2014 is not at all coherent. I just follow my interests. That said, this story did feel slightly of a piece with the wrongful birth story \u2026 and over the past 13 years \u2014 I have a 13-year-old daughter \u2014 I\u2019ve been interested in family stories. But I also write sports profiles sometimes. In fact, I started writing sports profiles after I wrote the lethal injection piece because I needed a break from the heartache. Obviously, this assignment took me back there.<br \/><h6>My questions are in <span class=\"annotation annotation-red\">red<\/span>, her\u00a0responses in <span class=\"annotation annotation-blue\">blue<\/span>. To read the story without annotations first, click the \u2018Hide all annotations\u2019 button below the byline, up and to the right.<\/h6><br \/><h2>What Really Happened to Baby Johan?<\/h2><br \/><strong><em>The father, mother, police, doctors<\/em><\/strong>\u00a0<em><strong>and hospital records all tell different stories about that night. Does anyone know the truth?<\/strong><\/em><br \/><br \/><span style=\"font-size: 0.9em\"><em>Originally published on <a href=\"https:\/\/medium.com\/matter\/what-really-happened-to-baby-johan-88816c9c7ff5#.ttiegde2q\" target=\"_blank\" rel=\"noopener\">Matter, February 2, 2015<\/a><\/em><\/span><br \/><br \/><strong>1. THE LETTER<\/strong><br \/><br \/>Jennie and Kristian Aspelin have five sons\u200a\u2014\u200aLukas, who is six; Johan, who would be four but is dead; and the triplets, Peter, Rudy, and Tommy, who just turned one. <span class=\"article-annotation-mod article-annotation-active\"><a class=\"article-annotation-control\"><\/a><span class=\"annotation annotation-red\">How did you decide to open with such a seemingly undramatic, matter-of-fact sentence, instead of something obvious\u2014and maybe trite&#8211;like \u201cWhen Kristian Aspelin found out his infant son had died, the devoted father never imagined he would be labeled a baby killer\u201d?<\/span> <span class=\"annotation annotation-blue\">I really felt that the story itself was so overwhelmingly dramatic and horrible that I wanted my voice to be very matter -of-fact, not over-hyping, just bearing witness to their lives. I try to do that. I think a lot of people do, right? Write hot stories cool and cool stories hot? Anyway, I\u2019ve only written a couple of crime-related stories, but in neither one was I very interested in crime, per se. I tend to be interested in emotional drama and\u2014 this is cliche, too, sorry\u2014\u00a0the stories people tell themselves. Another writer might have written this piece focused tightly on Kristian, the husband, who was accused of the crime. I was at least as interested in Jennie.<\/span><\/span><br \/><br \/>Last spring, when the triplets were nearly 113 days old, Johan\u2019s age when he died, Jennie told me about the letter from the donor agency. It arrived around Christmas 2010. At that time, Jennie\u2019s husband, Kristian, wasn\u2019t living at home, as he couldn\u2019t legally share a residence with Lukas, then their only living son. In the letter, the California Transplant Donor Network thanked Jennie and Kristian for Johan\u2019s heart, liver, pancreas, and small bowel and told them the ages of the children whose lives those organs had saved. After reading, Jennie called the California Transplant Donor Network. As she recalled, Johan\u2019s lungs were requested soon after she\u2019d signed the donation papers. Why was no small child breathing with them? The donor network promised Jennie they\u2019d look into the matter, and several weeks later they gave her an answer: No child had received Johan\u2019s lungs because Johan\u2019s lungs were unusable.<span class=\"article-annotation-mod article-annotation-active\"><a class=\"article-annotation-control\"><\/a><span class=\"annotation annotation-red\">How did you decide to place Jennie\u2019s reaction to the unusable lungs at the top of this feature? Did you make the decision primarily to back into informing readers that a criminal proceeding would dominate the narrative? Or did you include the lung obsession here mostly to help illuminate Jennie\u2019s character?<\/span> <span class=\"annotation annotation-blue\">I was incredibly worried from the start that no one would want to read another shaken baby story \u2014 because the truth is, when I started out, I felt <a href=\"http:\/\/www.nytimes.com\/2011\/02\/06\/magazine\/06baby-t.html?_r=0\" target=\"_blank\" rel=\"noopener\">Emily Bazelon\u2019s shaken baby piece<\/a> in the New York Times Magazine had done the job, and done it so well, that avid magazine readers wouldn\u2019t see any point reading a shaken baby piece ever again. So even though this is a story with a shaken baby prosecution at its core, I never wanted that to be the primary subject. I wanted the subject to be the family ordeal with grief and accusation. How do you survive not only the loss of your child but your husband being accused of killing him? What if your husband didn\u2019t do anything criminal but he killed your baby by accident \u2014 how do you survive that? What do you tell yourself that enables you to go on? So the lungs are up top because they are a crucial piece of how Jennie is going to survive this thing. They also tell the reader, even before shaken baby comes up, that this is not the same shaken baby story you read in 2011.<\/span><\/span><br \/><br \/>Jennie set to work trying to collect all of Johan\u2019s medical records because, on November 10, 2010, the State of California charged Kristian with penal code section 273a(a), willful cruelty to a child, a complaint amended three days later to include homicide for the death of their son. Kristian always maintained his innocence, and Jennie always believed him. Born in New York to Filipino parents, raised in Saudi Arabia, Jennie described herself as being \u201cfrom tough stock\u201d\u200a\u2014\u200ahere she was, caring alone for infant triplets, inviting me into her home. Over the course of the prior three and a half years she\u2019d lost a baby, her house, her job, all of her money, and, very nearly, her husband. Her face had transformed. In pictures taken before Johan died and Kristian was charged with his murder, Jennie looks full of \u00e9lan and glamour\u200a\u2014\u200aa smart, sexy, worldly Asian beauty, long dark tresses falling over her shoulders, indomitably optimistic look in her eyes. Around her home hang portraits, in various family configurations: Jennie and Kristian; Jennie, Kristian, and Lukas; Jennie, Kristian, Lukas, and Johan; and then just Jennie, Kristian, and Lukas again.<span class=\"article-annotation-mod article-annotation-active\"><a class=\"article-annotation-control\"><\/a><span class=\"annotation annotation-red\">Why did you decide to insert yourself into the story here?<\/span> <span class=\"annotation annotation-blue\">I\u2019m a fan of light first person, in that it adds another layer. And part of what is going on in this article is that Jennie is getting me to tell the story\u2014I\u2019m there because I\u2019m part of her plan to get this story told. She wants the world to know what happened to her family. She\u2019s on a quest for justice. She wants the assholes who accused her husband of killing her child to pay. My announcement that I\u2019ve been invited by Jennie is also a tiny bit of morally covering my ass, of letting the reader know Jennie wants me here, she wants her story told. Kathryn Shulz made the excellent point in her recent New Yorker piece, about <a href=\"http:\/\/www.newyorker.com\/magazine\/2016\/01\/25\/dead-certainty\" target=\"_blank\" rel=\"noopener\">&#8220;Making a Murderer&#8221; and &#8220;Serial<\/a>&#8220;, that we\u2014writers, readers, listeners\u2014 are turning crime and victims\u2019 pain into entertainment and that\u2019s ethically dubious. Which it is. But at least in this case the subject had an agenda of her own in getting involved with a journalist.<\/span> <span class=\"annotation annotation-red\">About physical description: Did you worry about readers wondering whether it\u2019s legitimate to view a photograph and determine if a gaze looks optimistic or pessimistic?<\/span> <span class=\"annotation annotation-blue\">Ha! I didn\u2019t think of that! Maybe it is? But I do think you can see hope and confidence or resignation and defeat in a face.<\/span><\/span><br \/><br \/>After learning from the donor network that Johan\u2019s lungs had not been transplanted due to \u201ca matter of function,\u201d Jennie redoubled her efforts, camping out at San Francisco General and UCSF hospitals, trying to gather every shard of evidence about Johan\u2019s final days\u200a\u2014\u200aall the nurses\u2019 notes, every test result. By that point, the Aspelins\u2019 lawyer had subpoenaed the medical records, but the files came back incomplete. So Jennie made the rounds, showing up at each department that touched her son\u200a\u2014\u200aemergency, radiology, anesthesiology, pediatrics, intensive care. \u201cIf I had to, I\u2019d play the grieving mother card,\u201d she told me. \u201cIf they were Filipino, I\u2019d play that up. I\u2019d talk to them in my broken Tagalog.\u201d At the end of the day she returned to her house. She collected thousands of pages of records which she kept in binders. Anything to piece together a story that made sense of her life and Johan\u2019s death.<br \/><br \/><strong>II.\u00a0THE INCIDENT<\/strong><br \/><br \/>A month before the donor letter arrived, on Monday, November 8, 2010, at 5:55 p.m., Kristian picked up Johan and Lukas, then ages three months and two and a half years, from Wonderful World of Learning, a Russian home daycare in San Francisco\u2019s Sunset District.<span class=\"article-annotation-mod article-annotation-active\"><a class=\"article-annotation-control\"><\/a><span class=\"annotation annotation-red\">Did you decide early in the reporting\/writing that you would use flashbacks as part of the narrative\u2019s architecture? What is the rationale for using flashbacks rather than straightforward chronology?<\/span> <span class=\"annotation annotation-blue\">I knew from the start that I couldn\u2019t just tell the story chronologically, because I\u2019d lose a lot of readers due to what I mentioned earlier. &#8220;Oh, another shaken baby story. Yawn.&#8221; My great editor, Mark Lotto, agreed. We even discussed it before I took the assignment. This wasn\u2019t a story you could write from start to finish. As soon as I started trying to organize my material, I decided to start with the lungs\u2014or at least try to. I was greatly relieved that it worked. I don\u2019t have a lot of experience writing stories like this.<\/span><\/span><br \/>Kristian was born and raised in Sweden and is leading-man material: blond, square-jawed, six-foot-two and over 200 pounds. Daylight savings had just ended, making it too dark at 6 p.m. for Kristian to take the boys to the park. He drove home. Johan was cranky. Jennie, an accountant and human resources manager, had finished her work at the office but was lingering, enjoying a rare moment of baby-free calm, \u201cjust looking at Amazon,\u201d she says. Before Johan\u2019s birth she\u2019d commuted nearly an hour each way to Palo Alto. But shortly before Johan was born, a former boss offered her a job with flexible hours and one quarter the commute. Thrilled and relieved, she agreed to start when Johan was five weeks old. Jennie\u2019s income provided the Aspelins stability. Kristian had started a tech company with a friend, but it was far from the glinting, golden dream of billion dollar IPOs; instead it was filled with stress, risk, and weird hours, building supply-chain planning software. On Monday, Tuesday, and Thursday evenings, Kristian picked up Johan and Lukas just before the daycare closed at 6 p.m. Jennie usually arrived home by 6:30 or 7 p.m. Together Jennie and Kristian bathed the boys, put them to bed, then ate dinner. After Jennie went to sleep, Kristian worked late and gave Johan his 2 a.m. bottle.<br \/><br \/>On the evening of November 8, back home with the boys, Kristian tried to feed Johan. When the baby refused the bottle, Kristian set Lukas up in the living room with a Little Einstein video and gave Johan a bath. Johan remained fussy\u200a\u2014\u200asometimes it\u2019s hard to catch a break in a family with an infant, a toddler, and two jobs. As Kristian tells the story, while he was in the nursery, dressing Johan after the not-so-calming bath, he heard a crash.<span class=\"article-annotation-mod article-annotation-active\"><a class=\"article-annotation-control\"><\/a><span class=\"annotation annotation-red\">Your attribution in the sentence, \u201cAs Kristian tells the story,\u201d jumps out, and feels suggestive of doubt by you. Am I over-interpreting?<\/span><span class=\"annotation annotation-blue\">No! It\u2019s meant to be suggestive of doubt. I wanted the reader to hang on to a little doubt. Even the day I submitted the story I still held a tiny bit of doubt. Not all the facts fit snuggly together on this one.<\/span><\/span><br \/><br \/>Kristian picked up Johan and ran to the kitchen, where he found that Lukas had pulled lots of food out of the refrigerator\u200a\u2014\u200ayogurt, leftover pizza, strawberries. Gus, the family golden retriever, was licking it up. Kristian squatted down to clean the mess, cradling Johan in one arm, but he slipped on the dog-saliva-wet floor and fell backward. Johan\u2019s head hit the terra cotta tiles and he passed out. When the baby opened his eyes, his body remained limp. <span class=\"article-annotation-mod article-annotation-active\"><a class=\"article-annotation-control\"><\/a><span class=\"annotation annotation-red\">When Kristian fell backward, did his head smash into the tiles?<\/span> <span class=\"annotation annotation-blue\">No.<\/span><\/span><br \/><br \/>Three or four minutes later, at 6:57 p.m., Kristian called 911. English is not Kristian\u2019s first language, but he speaks fluently, albeit with a thick accent. Yes, he\u2019s still breathing, Kristian told the dispatcher, almost snoring, not making eye contact, body and limbs are limp. The dispatcher instructed Kristian to put a hand under Johan\u2019s chin and tilt the baby\u2019s head back to keep the airway clear. The dispatcher then remained on the line until 7:02 p.m., when the first EMTs arrived at the house. Reports from the first-responders state that Johan was lying on the master bed. His heart rate was alarmingly low, and his eyes couldn\u2019t focus. He had no bruising, no abrasions, no hematomas, no blood in his mouth, no blood in the ears, which, given Johan\u2019s minimal consciousness and the account of how he fell, was strange. Still, when a paramedic flicked Johan\u2019s feet, to try to stimulate a response, Johan moved and let out a vigorous cry for the first time since the accident\u200a\u2014\u200aa huge relief.<br \/><br \/>Meanwhile, Kristian repeatedly tried to call Jennie, who by this point was on a Muni and not answering her phone. A firefighter helped Lukas put on his shoes and buckled the toddler into his carseat in Kristian\u2019s car. An ambulance then drove Johan, code 3\u200a\u2014\u200alights and sirens, ignoring traffic laws\u200a\u2014\u200ato San Francisco General Hospital. Kristian and Lukas, escorted by a firefighter, drove to the West Portal train station to pick up Jennie.<br \/><br \/>During the ambulance ride across town, Johan\u2019s alertness varied from nine to 11 on the Glasgow\u2019s Coma Scale. (Fifteen on that scale indicates fully alert; three is deeply comatose. Severe injuries are eight and lower.) The baby\u2019s legs stiffened and his arms turned inward, a position known as \u201cdecorticate posturing,\u201d which often indicates brain damage. Paramedics roused Johan into consciousness for the last time on the walk into the emergency room, at 7:23 p.m. Doctors quickly intubated the baby, shoving a plastic airway past his vocal chords and into his tiny trachea. They also sedated Johan with two paralytic drugs, Versed and rocuronium, after which radiologists performed a CT scan, which revealed a moderate brain bleed and swelling on the left top of Johan\u2019s head. Just before 9 p.m. a nurse noticed that Johan\u2019s blood oxygen levels were low and retracted the plastic intubation airway by one centimeter. At 10:43 p.m., a nurse observed Johan\u2019s chest rising and falling asymmetrically and heard diminished breathing sounds on Johan\u2019s left side. She readjusted the tube.\u00a0<span class=\"article-annotation-mod article-annotation-active\"><a class=\"article-annotation-control\"><\/a><span class=\"annotation annotation-red\">A lot of medical procedural jargon potentially threatens the narrative drive. Did you include it, knowing the outcome of the criminal case against Kristian would drive curious readers back to this juncture?<\/span> <span class=\"annotation annotation-blue\">I like the specificity of the medical language and I wanted to put the reader, as much as I could, inside the medical world in this moment. This is what the EMTs, nurses, and doctors are seeing. This is how it all looks to them.<\/span><\/span><br \/><br \/>This was every parent\u2019s nightmare: Three-month-old baby in the hospital, tubes taped to his face. Around midnight, Kristian returned to the Aspelins\u2019 house, to relieve the family friend who\u2019d picked up Lukas earlier that evening and brought him home to sleep. The Aspelins had no sense that Johan\u2019s injuries might be fatal, though shortly before midnight Dr. Amy Beck, one of the chief pediatrics residents at San Francisco General, called Child Protective Services. Beck recalls feeling that something about this case just didn\u2019t add up. By 2 a.m., a doctor noted that Johan\u2019s right pupil was dilated and sluggish and that his left pupil was fixed. A second CT scan, performed at 3 a.m., revealed more brain bleeding, clotting in Johan\u2019s superior sagittal sinus (a cavity that drains blood from cerebral veins), and a diffuse brain injury that appeared to be from lack of oxygen. <span class=\"article-annotation-mod article-annotation-active\"><a class=\"article-annotation-control\"><\/a><span class=\"annotation annotation-red\">Are you subtly setting up Dr. Beck as a villain or heroine here? How do you view foreshadowing as a narrative technique? Are you treating Dr. Stewart similarly but with less subtlety in the following paragraphs?<\/span> <span class=\"annotation annotation-blue\">I want the reader to doubt everybody \u2014 which is maybe terrible. But what happened to Johan wasn\u2019t the result of one big mistake. It was the result of many smaller mistakes. So I wanted to slowly build up the sense that everybody made mistakes, or at least might have made them, and that also everybody was well-intentioned. The same holds for Dr. Stewart, though the stakes are higher with him, and Jennie and Kristian place A LOT of blame on him. But I should say, again, that I think Dr. Stewart is well-intentioned, a good guy and a great doctor doing his job, seeing the world through eyes of a man who dedicates his life to protecting children. I really believe everybody can behave well and terrible things can still happen.<\/span><\/span><br \/><br \/><strong>III. THE NEXT DAY<\/strong><br \/><br \/>On the morning of November 9, Kristian dropped Lukas at daycare, crying as he explained to the staff why Johan was not there. He then drove to the hospital and Jennie returned home to shower and change. While she was gone, Dr. Chris Stewart, a professor of pediatrics and the doctor responsible for San Francisco General\u2019s suspected child abuse and neglect reviews, asked to speak to Kristian. Stewart informed Kristian that Johan was doing badly. The baby\u2019s Glasgow Coma Score was now seven, his brain continued to swell and bleed, and blood had hemorrhaged in his eyes.<br \/><br \/>Stewart also serves as director of the Children\u2019s Advocacy Center of San Francisco. He asked Kristian to retell the story of the accident, so Kristian did\u200a\u2014\u200acranky baby, didn\u2019t eat, fussy after bath, crashing sounds, run to kitchen, slip and fall, drop baby on tile floor. Stewart then informed Kristian that this plot sequence was unsatisfactory; it failed to explain Johan\u2019s injuries. Kristian said he really couldn\u2019t think of anything else, but he tried to be accommodating. When Stewart asked if perhaps Kristian might have shaken the baby, Kristian paused. Then he said, \u201cYes, there may have been some times. I may have shaken him before.\u201d<br \/><span class=\"article-annotation-mod article-annotation-active\"><a class=\"article-annotation-control\"><\/a><span class=\"annotation annotation-red\">With the details you chose from the Stewart-Kristian interactions, are you seeking to lead readers in any specific direction\u2014for instance, that Stewart\u2019s medical training led him to ask a loaded question that might result in criminal charges against Kristian, or that Kristian\u2019s naivete about shaken baby syndrome might have led to poor communication that wrongly harmed him?<\/span> <span class=\"annotation annotation-blue\">Yes, I\u2019m just hoping to set up here that everybody is trying. Stewart is hearing a story that, to his mind, does not add up, and he\u2019s trying to get to the bottom of it, to protect this tiny child. Kristian is trying to cooperate and he\u2019s digging himself into a hole.<\/span><\/span><br \/><br \/>According to the official \u201cchild maltreatment consultation\u201d report Stewart composed several weeks later, he handed Kristian a pillow to demonstrate. (Stewart declined to provide details about the case out of respect for the privacy of the Aspelin family. Many details in this story are taken from official investigation transcripts.) Kristian \u201cshowed a fairly gentle side to side motion holding the pillow in front of him with both hands.\u201d Stewart asked Kristian if he may have shaken Johan anytime previous to this. \u201cFather said maybe 4 or 5 times,\u201d Stewart noted, \u201cmaybe before the weekend.\u201d To confirm, Stewart asked Kristian again what he meant by shaking. Kristian gently rocked the pillow side to side.<br \/><br \/>In the context of a brain-injured infant, the word \u201cshake\u201d has totemic meaning. To many parents and caregivers, it evokes a modern-day version of the Salem witch trials, a trumped-up charge, a specious crime. As Deborah Tuerkheimer, a Northwestern University law professor, writes in Flawed Convictions: Shaken Baby Syndrome and the Inertia of Injustice, we can\u2019t tolerate just sitting with \u201cthe sudden, seeming inexplicable collapse of an infant.\u201d So we created a narrative and a class of villains to meet our moral and emotional needs. <span class=\"article-annotation-mod article-annotation-active\"><a class=\"article-annotation-control\"><\/a><span class=\"annotation annotation-red\">How did you decide to use the adjective \u201ctotemic\u201d?<\/span> <span class=\"annotation annotation-blue\">I really wanted to stress that we attach a whole wheelbarrow of rocks to the word \u201cshake\u201d in this context. It has a ridiculous amount of weight.<\/span><\/span><br \/><br \/>The American Academy of Pediatrics acknowledges that the label itself\u200a\u2014\u200a\u201cshaken baby syndrome\u201d\u200a\u2014\u200ahas become contentious and distracting, so doctors now use \u201cabusive head trauma.\u201d But the change, in part, is PR. Many pediatricians continue to see a story with a villain. Subdural hemotomas and other severe injuries rarely result from short falls with multiple adult witnesses. They are also vanishingly uncommon in places that require careful record-keeping, like hospitals and schools. As a result, children continue showing up at emergency rooms with brain bleeding, brain swelling, and retinal hemorrhaging, and doctors continue to believe that those injuries result from shearing forces caused by adults who lose it on crying babies and shake them too hard.<br \/><br \/>This mess stems, in some ways, from what\u2019s possible in journalism. As Brown University public policy and political science professor Ross Cheit notes, it makes good copy to argue that a convicted mother or father or babysitter is innocent, whereas it makes libelous copy to insist that a legally innocent caretaker is guilty.<br \/>Everybody loves a good wrongful conviction tale.<span class=\"article-annotation-mod article-annotation-active\"><a class=\"article-annotation-control\"><\/a> <span class=\"annotation annotation-red\">I have researched so many alleged and actual wrongful convictions over my decades as a journalist that I must fight against certain thought pathways I might have developed. Did you enter the Johan saga with beliefs about the validity of criminal charges in shaken baby cases?<\/span> <span class=\"annotation annotation-blue\">Well, yes, I did\u2014largely from Emily Bazelon\u2019s piece. I found my interview with Ross Cheit fascinating. Journalists love to tell wrongful conviction stories! And the press is really well-suited to telling those stories. It\u2019s much easier to try to exonerate someone in the press than to try to convict someone in the press.<\/span><\/span><br \/><br \/><strong>IV. THE ARREST<\/strong><br \/><br \/><span style=\"line-height: 1.5\">Johan continued to deteriorate. By noon on November 9, doctors transferred him across town, from San Francisco General to the UCSF Children\u2019s Hospital, which has more expert pediatric intensive care. Kristian rode with Johan in the ambulance to the Parnassus Avenue campus, just up the hill from Golden Gate Park. Once Jennie arrived, too, she and Kristian shared a cigarette\u200a\u2014\u200aunusual for them\u200a\u2014\u200ato try to cope with the stress. Kristian, by his own definition, is \u201ca stoic Scandinavian person,\u201d by which he means, \u201cin general, when you feel depressed or sad, you deal with it by yourself. That\u2019s Viking men\u200a\u2014\u200ayou don\u2019t complain.\u201d That afternoon, Alexis Goldner, an inspector from the San Francisco Police Department Juvenile Division, called Stewart, who told her that he found Johan\u2019s case \u201cextremely concerning\u201d as he didn\u2019t see any way the accident Kristian described could have produced the baby\u2019s injuries. Goldner arrived at the hospital with two social workers from the San Francisco Human Services Agency: Mary Alice Means and Eric Morgan, who Jennie described as a \u201cbig guy [who] bothered me.\u201d<\/span><br \/><br \/>Goldner, Means, and Morgan invited Kristian, without Jennie, to join them in a conference room. Goldner led the interview. After a few niceties she asked Kristian how he calmed Johan when Johan was fussy. Kristian laid out the standard parenting arsenal\u200a\u2014\u200afeed, change, bathe. Goldner then handed Kristian a teddy bear and asked him to demonstrate how he shook Johan. Kristian rocked the teddy bear back and forth.<br \/><br \/>\u201cAnd then what do you do when you\u2019re frustrated and he keeps crying?\u201d Goldner asked.<br \/><br \/>Kristian said, \u201cNormally, I just put him down.\u201d<br \/><br \/>Goldner pivoted back. \u201cHow about before you gave the baby a bath? Weren\u2019t you feeling\u200a\u2014\u200aI think you said you were feeling pretty frustrated\u2026.\u201d<br \/><br \/>In the transcript, the officials sound full of BS, manipulating Kristian\u2019s paternal love to try to compel him to confess. \u201cI see that you are someone who is trying to be very forthcoming and I see that you love your children,\u201d Means said. \u201cBut two little children really close in a row like this is, is a lot of parenting. It\u2019s four times the work as one little child two years old. And, you know, we get that\u2026.\u201d<span class=\"article-annotation-mod article-annotation-active\"><a class=\"article-annotation-control\"><\/a><span class=\"annotation annotation-red\">When you wrote the phrase \u201cfull of BS,\u201d had you concluded that the three questioners had formed an opinion about Kristian\u2019s guilt?<\/span> <span class=\"annotation annotation-blue\">I was so angry when I read this material in the transcripts. Yes, I did feel that the questioners were just determined to find a specific answer. I was spending a lot of time with Jennie at that point, too, so I was really empathizing with her.<\/span><\/span><br \/><br \/>Kristian, in good Viking style, remained impassive and tried to take responsibility, owning that Johan was indeed injured while in his care. But he rejected the insinuation that he abused Johan, causing Goldner to try a new angle. She asked Kristian if he had seen his infant son that day. Kristian said, \u201cYeah, of course.\u201d<br \/><br \/>\u201cAnd how\u2019s he doing today?\u201d Goldner asked.<br \/><br \/>\u201cHe\u2019s not doing well,\u201d Kristian said, explaining Johan looked dazed, \u201clike a vegetable, almost\u2026.\u201d<br \/><br \/>Then, tag-teaming, Means, the social worker, stepped in. \u201cIt is really serious, I\u2019m so sorry to tell you. The more information they have, the better chance that they can\u2026.\u201d<br \/><br \/>Kristian, ever composed, told the same story of the accident yet again. Eventually Means dropped all pretense and called Kristian a liar outright. \u201cWhatever happened to him that caused the injury wasn\u2019t that little fall out of your arms. It wasn\u2019t.\u201d Means said. \u201cIt\u2019s like saying my baby, my baby has a burn mark right here and it happened because I put my baby down on the bed and the sun was on him.\u201d<span class=\"article-annotation-mod article-annotation-active\"><a class=\"article-annotation-control\"><\/a><span class=\"annotation annotation-red\">As you relate Kristian\u2019s composed demeanor and stoic character more than once, are you suggesting that various authorities grievously misinterpreted superficial indicators?<\/span> <span class=\"annotation annotation-blue\">You know, I do think he\u2019s a guy that reads as suspicious in San Francisco\u2026. He\u2019s just so contained. It makes you wonder why he\u2019s so contained, though by the end of reporting the story I saw him, in many ways, as more emotionally present and grounded than Jennie. He seems very Northern European.<\/span><\/span><br \/><br \/>That night Kristian slept at a friend\u2019s house, at the request of the social workers who had begun their investigation that day. (The social services agency later filed a petition with the court under the California Welfare and Institutions Code, Section 300\u200a\u2014\u200aintended to protect children from their parent\u2019s abuse and neglect\u2014barring him from unsupervised contact with Lukas.) In the morning he drove with Jennie to the hospital, where a doctor told the Aseplins that Johan\u2019s condition had grown worse. Kristian felt overwhelmed\u200a\u2014\u200a\u201calmost like a zombie, you don\u2019t feel anything,\u201d he says. Meanwhile, Stewart and Goldner spoke again, confirming each other\u2019s impression that Kristian\u2019s explanation of the accident, in Stewart\u2019s words, was \u201cnot the correct story.\u201d <span class=\"article-annotation-mod article-annotation-active\"><a class=\"article-annotation-control\"><\/a> <span class=\"annotation annotation-red\">\u00a0As you reported the story, you seem to have developed suspicions of confirmation bias among the authorities. Am I inferring correctly?<\/span><span style=\"line-height: 1.5\"> <span class=\"annotation annotation-blue\">Yes, I think everybody had confirmation bias here, including Jennie.<\/span><\/span><\/span><br \/><br \/>In a Delivered Services Log from that day, November 10, Means notes that Goldner was \u201choping to avoid arrest at this time, as she knew Johan was dying.\u201d But that evening, a friend of a friend, a lawyer, arrived at UCSF and noticed a group of police officers entering the hospital. He found Jennie and Kristian crying in a private room on the pediatric floor. He counseled Kristian that if those officers came to arrest him, he should exercise his Miranda rights and remain silent.<br \/><br \/>Soon after, at 8:45 p.m., Goldner entered the room and charged Kristian with child endangerment, including inflicting \u201cunjustifiable physical pain.\u201d Kristian remained silent, gave Jennie his keys, wallet, and wedding ring, and extended his arms to be handcuffed. \u201cCan I say goodbye to my son?\u201d Kristian asked. In Johan\u2019s room, wrists shackled, Kristian started to lean over the crib to kiss Johan for what everybody knew would be the last time. \u201cSir, step away from the baby,\u201d one of the officers said. Means describes the scene in her log as \u201ca heartbreaking visual.\u201d<br \/><br \/>Jennie called after Kristian as he was led away: \u201cYou did nothing wrong\u200a\u2014\u200ayou\u2019re a good dad! I will get you out as soon as I can! Be strong and careful.\u201d<br \/><br \/><strong>V. BEFORE<\/strong><br \/><br \/>Jennie and Kristian met at Matrix, a bar on Fillmore Street, Jennie says, \u201c\u201902 or \u201903\u200a\u2014\u200aI can\u2019t remember, my life was wonderful.\u201d Jennie was 29 years old and not working, just volunteering at the Asian Art Museum and with the Junior League, and tutoring math to kids in Hunters Point, one of San Francisco\u2019s few rough neighborhoods. She\u2019d grown up privileged\u200a\u2014\u200aher father worked as an accountant for a large oil concern; she\u2019d gone to boarding school at Kent, in Connecticut\u200a\u2014\u200abut she was indeed from tough stock. When Jennie\u2019s grandmother, who played on a Filipino national-level softball team, was in her 30s, Jennie\u2019s grandfather was killed in a political murder. She never remarried. \u201cShe just put her needs on the back burner,\u201d Jennie told me, and raised her four children on her own.<span class=\"article-annotation-mod article-annotation-active\"><a class=\"article-annotation-control\"><\/a><span class=\"annotation annotation-red\">How did you decide to place the flashback about the beginning of the relationship here, rather than higher or lower?<\/span> <span class=\"annotation annotation-blue\">Oh God, that\u2019s a hard question. I think I just kind of vibed that at this point the reader is sucked far enough into Kristian and Jennie\u2019s lives so as be ready for back story.<\/span><span class=\"annotation annotation-red\">To what extent did you chart the narrative arc before writing the first draft?<\/span> <span class=\"annotation annotation-blue\">I spend FAR more time charting the narrative and figuring out what pieces of material go where than writing a so-called first draft. I say \u201cso-called\u201d because for me there\u2019s not a bright line between the documents I create to map out the flow and my story drafts. After I finish reporting, I just start thinking about structure\u2014this is my section one, my section two, etc.\u2014and then I start placing accumulated material into that structure where I think it should go. Then I read through that flow again and again and again, clarifying my argument for myself, adding things, deleting things, moving things around. Somewhere along the line, as I\u2019m thinking through that flow of details my notes turn into sentences. By the time everything is in place and I\u2019m just working on the writing, I\u2019m not sure it\u2019s really a first draft. Maybe it is?<\/span> <span class=\"annotation annotation-red\">What numbered draft is this published version, if you kept count?<\/span> <span class=\"annotation annotation-blue\">I\u2019m not very good at keeping numbered drafts. I basically just tweak tweak tweak until I go from an outline of notes to a story. Once I submit a draft, then it&#8217;s a little clearer.<\/span><\/span><br \/><br \/>When he met Jennie, Kristian was 31 years old and just back in the States after a yearlong software consulting gig in London. He\u2019d grown up in Sweden, an athletic kid with a prominent father, a radiologist who served as the vice president of the Karolinska Institute, the medical university responsible for selecting Nobel Prize winners in medicine. In junior high, Kristian spent a summer in Kansas with family friends. He returned to the States for college, earned a master\u2019s degree in management information systems at the University of Arizona, and started working in tech. Jennie described Kristian as \u201clike a male version of me.\u201d<br \/><br \/>Jennie and Kristian decided that they wanted to have four children even before they married in 2005. Jennie did not get pregnant easily. She took the fertility drug Clomid; they considered adoption. \u201cWe didn\u2019t care how we got our children,\u201d Jennie says. \u201cWe just wanted to be parents.\u201d In those years theirs was the fantasy San Francisco life: They skied 20 days a year in Tahoe, walked their dog along the beach to the Golden Gate Bridge, shared buckets of golf balls and pitchers of beer at the Mission Bay driving range. IVF worked after a couple of rounds. When Lukas was born, on May 11, 2008, Jennie and Kristian were living in their dream house, the one with the terra cotta tiles on Vicente Street.<br \/><br \/>Johan was born a little over two years later, on July 23, 2010. Jennie and Kristian found being second-time parents so much less stressful. As Jennie later wrote to the parents of the girl who received Johan\u2019s donated heart, Johan was \u201cjust so smiley, mellow and easygoing.\u201d<span class=\"article-annotation-mod article-annotation-active\"><a class=\"article-annotation-control\"><\/a><span class=\"annotation annotation-red\">How did you decide what to include about the Jennie-Kristian relationship, and what to exclude? Did you end up excluding details you now wish had remained in the published piece?<\/span> <span class=\"annotation annotation-blue\">I don\u2019t know, not really. That\u2019s not a very interesting answer!<\/span><\/span><br \/><br \/><strong>VI. THE NEXT WEEK<\/strong><br \/><br \/>On November 11, 2010, at 1:30 a.m. the police locked Kristian in a holding cell at the Mission station with, as he recalls, \u201cone drunk, high Latino gay guy screaming and showing his tongue to everyone, saying he wants to F everyone; drug dealers.\u201d Kristian\u2019s handcuffs felt tight. Later that evening, at San Francisco\u2019s main jail, on Bryant Street, a guard advised Kristian to keep quiet about the charges against him because criminals hate child abusers.<br \/><br \/>Jennie, on the outside, snapped into practical overdrive\u200a\u2014\u200aasking her Harvard- and Stanford-educated friends for defense attorney referrals, coordinating rides from the airport for her parents and in-laws, arranging playdates for Lukas, and raising bail, which the judge initially set at $2 million. After interviewing 14 lawyers, Jennie hired Stuart Hanlon, a prominent San Francisco attorney who defended some members of the Black Panthers and the Symbionese Liberation Army in the \u201970s. Jennie liked Hanlon immediately. He decorated his office, she says, with \u201c50 pictures of his two sons and a golden retriever\u200a\u2014\u200athat was like us.\u201d<br \/><br \/>Meanwhile, guards stripped Kristian and placed him solitary confinement. After a few hours, naked, in a bare safety cell, Kristian asked when he might get out. The guard replied, \u201cWhen you start behaving.\u201d Kristian broke down for the first time since his arrest. He told me he felt, \u201cvery raw, like Middle Ages. Maybe a little bit like what the Holocaust people felt\u200a\u2014\u200ahelpless.\u201d Coming from a large, white, blond man, this sounds off-putting and cold, but he meant something vulnerable. \u201cRelatives are dying, and you can\u2019t help it, and you have no idea what is going on in the outside world.\u201d<span class=\"article-annotation-mod article-annotation-active\"><a class=\"article-annotation-control\"><\/a><span class=\"annotation annotation-red\">Without using the word \u201csuicide,\u201d are you conveying that Kristian might have been feeling suicidal? Or are you instead primarily conveying the automatic cruelty of prison protocol?<\/span> <span class=\"annotation annotation-blue\">I didn\u2019t really mean to be suggesting suicidal impulses. I don\u2019t think he was suicidal. But the cruelty and dehumanization broke him\u2014capturing that was the intent.<\/span><\/span><br \/><br \/>After Kristian had spent 24 hours in isolation, guards gave him an orange jumpsuit and moved him to the locked psychiatric ward at UCSF, where he had a bed and books, including one called Indian Givers, that Kristian\u2019s mind locked onto to keep him sane. Kristian\u2019s new keepers explained that he\u2019d been sent to solitary because San Francisco jail protocol demands that an inmate spend a day in isolation before being admitted to the psych unit. Kristian\u2019s arrest had been featured in The San Francisco Examiner and on local TV news. Guards told him that they feared they couldn\u2019t keep Kristian safe in the general population.<br \/><br \/>The litany of horrors involved when one member of a family is accused of killing another is impossible to process. On November 11, Kristian\u2019s parents flew in from Sweden. His mother, Linda, spent the entire Frankfurt to San Francisco leg crying; Kristian\u2019s father, Peter, the eminent radiologist, kept wondering if anybody could prove that his son had done anything wrong. The next day, Jennie launched into the ghastly bureaucracy required to donate Johan\u2019s organs.<br \/><br \/>The following day, the 13th, Johan was declared brain-dead. And the State of California issued a four-count felony complaint against Kristian, alleging \u201cassault by force that a reasonable person would know would likely cause great bodily injury resulting in pain and death.\u201d No one took time to grieve.<br \/><br \/>The actual organ harvesting took place on November 15, in the afternoon, in a UCSF operating room. Surgeons aborted retrieving Johan\u2019s kidneys due to difficulty of separating his tiny renal arteries from other vessels. By 4:30 p.m. the other organs were carefully packed in ice coolers. Soon after they were in an ambulance speeding to San Francisco International Airport for shipping.<br \/><br \/>Kristian arrived at his bail hearing and arraignment in shackles, his face pale and blank. A crowd of friends showed up to support him\u200a\u2014\u200adozens had written to the judge on his behalf\u200a\u2014\u200abut he didn\u2019t make eye contact with anybody besides his family. The judge ordered Kristian released on bail, which Hanlon had successfully lowered from $2 million to $750,000. The guards led Kristian away. Upon on his release, the first thing he requested was decent food; in the past seven days he\u2019d lost 15 pounds. That evening he didn\u2019t want to be around people, but he also didn\u2019t want to be alone, so Jennie invited their closest friends and family to gather at a neighbor\u2019s. There she served traditional Swedish princess cake and the lasagna that kind people had dropped at her house. The mood at the gathering bounced between tears and laughter, which Jennie suspects her neighbors thought was crazy because Johan had just died. But as she recalls, \u201cThere was so much tension. No one knew what to do or ask.\u201d<br \/><br \/>Trust and security drained out of Jennie and Kristian\u2019s lives. Even gestures of generosity aroused doubt. For instance, many people offered to loan money for Kristian\u2019s bail. The first to do so were a couple who babysat for Johan the day before the accident. They\u2019d dropped by Aspelins\u2019 house to pick up Lukas to go to the playground with their son and offered to bring Johan along so Jennie and Kristian could nap. It was a thoughtful favor\u200a\u2014\u200anot a big deal. That week they wired $230,000 to the bail trust set up by Hanlon, Kristian\u2019s lawyer. Jennie and Kristian weren\u2019t close enough to couple to know they had that kind of capital. Did something happen to Johan on their watch? Was this guilt money?<span class=\"article-annotation-mod article-annotation-active\"><a class=\"article-annotation-control\"><\/a><span class=\"annotation annotation-red\">Did you contact the generous couple for an interview? If yes, how did they respond? If no, why did you make that decision?<\/span> <span class=\"annotation annotation-blue\">I didn\u2019t\u2014and not for any good reason, which seems embarrassing now. When I was reporting and writing, I was just trying to capture Jennie and Kristian\u2019s experiences. From the outset, I knew that I was not going to re-investigate the case.<\/span><\/span><br \/><br \/>The night of Kristian\u2019s release, he and Jennie slept on air mattresses at their neighbor\u2019s. Lukas slept at home with his grandparents. The family shattered, by Johan\u2019s death, was fractured again by the legal system. Kristian was now legally barred from living at their house and spending time unsupervised around Lukas, now his only son.<br \/><br \/><strong>VII. \u00a0THE CASE AGAINST KRISTIAN<\/strong><br \/><br \/>For six months Kristian bounced between friends\u2019 places before settling in Redwood City, south of San Francisco, with a friend who\u2019d just gone through a divorce. During the day Kristian tried to work and at night he obsessively researched his own case, or really, cases. The State of California was charging him with homicide and the Human Services Agency had made Lukas a dependent of the court. Jennie was also being scrutinized. Did she know that Kristian had killed her baby but was protecting her husband?<span class=\"article-annotation-mod article-annotation-active\"><a class=\"article-annotation-control\"><\/a><span class=\"annotation annotation-red\">How do you know about Jennie being scrutinized, and how deeply did you pursue that angle?<\/span> <span class=\"annotation annotation-blue\">The lawyer from their juvenile case was extremely helpful and told me about it. Jennie told me about the scrutiny, too. I could have gone much, much deeper into the juvenile case but at some point I just needed to write the story and be done. To be clear, I spent months on this piece. I brought six boxes full of legal files with me on our family\u2019s summer beach vacation. But I\u2019m married to another writer and raising two kids in San Francisco so \u2026. at some point I needed to finish, move on, and get paid.<\/span><\/span><br \/><br \/>Twice a week, one hour each time, Kristian was allowed to see Lukas at the Juvenile Division of the Mission police station. The Department of Social Services takes a healthy skepticism toward parents when one is accused of killing a child. The juvenile court assigned Lukas his own attorney, separate from Jennie and Kristian. On some official documents Kristian is referred to as \u201cFather (Alleged).\u201d For each meeting between Kristian and Lukas, Jennie needed to take half a day off work and pull Lukas out of preschool\u200a\u2014\u200aall so Social Services employees, usually graduate students, could scrutinize her small, sad family. While reading books and playing games with Lukas, Kristian constantly worried that his son would flinch or pull away\u200a\u2014\u200aor, Kristian says, that he\u2019d be \u201cplaying dinosaurs and the daddy dino stomps on the mommy.\u201d If that happened the social services staff or Lukas\u2019s lawyer might decide to take a more forceful position in the case.<br \/><br \/>Kristian kept up his stoic demeanor, but he was cracking. Along with reading scientific papers about retinal hemorrhaging and subdural hematomas, and reviewing them on the phone with his father, Kristian spent nights torturing himself by digging up nightmare stories of people wrongly accused of child abuse. Among the worst was the story of the O\u2019Shell family in Henderson, Colorado. The father, Dave, a police officer, was suspected of cruelty to a child after he and his wife brought their three-month-old daughter, Alyssa, to the hospital in 2008, with 11 broken bones. Dave became the prime suspect in the case after Alyssa looked away from him several times during a supervised visit. Expecting to be arrested, and apparently unable to stand the idea of his wife raising his daughter alone, Dave shot his wife at point blank range while she was sleeping in their bed. Then he put two guns in his mouth, pulled both triggers, and killed himself. The same day a doctor noticed that Alyssa could not lift her head\u200a\u2014\u200aunusual at her age\u200a\u2014\u200aand that her thumbs turned inward strangely and her legs wouldn\u2019t straighten. A genetic test showed that Alyssa had a rare disease, spinal muscular atrophy, responsible for her symptoms. She was adopted by her grandparents and died of spinal muscular atrophy at age seven months.<span class=\"article-annotation-mod article-annotation-active\"><a class=\"article-annotation-control\"><\/a><span class=\"annotation annotation-red\">How many other cases did you find and study? How many involved shaken baby syndrome specifically?<\/span> <span class=\"annotation annotation-blue\">Oh God, this is getting really embarrassing! This is the only story that Kristian told me about that I dug deep. When I was following up with him about his late-night self-torture material he sent me four news stories, as examples, all shaken baby cases. Alyssa\u2019s family\u2019s story just slayed me\u2014it\u2019s so horrific. And in a perverse way it sheds some light on Kristian and Jennie. Jennie was\u2014is\u2014so determined to not lose her entire life to this nightmare. She was not going to lose her marriage. She was not going to lose her child. She was not going to let Johan&#8217;s death be the end of her family. She came out of this hell and had <em>triplets<\/em>.<\/span><\/span><br \/><br \/>Meanwhile, police investigator Kevin Jones was gathering material for the homicide case, interviewing first responders, doctors, and daycare employees. Under the force of his questioning, damning details surfaced in people\u2019s minds. Firefighters recalled that when they arrived at the Aspelin home, Lukas was \u201ca handful\u201d and had bad manners. The Lego table was too close to the heating vent\u200a\u2014\u200aa fire hazard. Kristian was too stoic, \u201cnot bothered by the fact that the baby was very sick,\u201d or conversely, he was \u201cextremely distressed\u201d and \u201coverwhelmed with two small children.\u201d The dog had \u201csome bizarre head injury. It looked like he had been run over because half its head was like smashed and his tongue was hanging out.\u201d Kristian and Jennie took too long to show up at ICU at San Francisco General. Jennie returned to work too soon after Johan was born.<br \/><br \/>As is commonly the case, witnesses offered conflicting accounts of concrete details. Some first responders remembered Kristian telling them that he dropped Johan in the nursery while lifting him from the crib; others, that he dropped Johan in the kitchen while trying to clean up Lukas\u2019s mess. Still, individual conviction in one\u2019s own ability to assess guilt and character remained strong. \u201cThe only thing I know is that those injuries aren\u2019t caused by just a fall,\u201d Jones said to a rescue captain.<br \/><br \/>Kristian \u201cdidn\u2019t seem as if he was, I don\u2019t know, he seemed very not all there,\u201d said Michael Carion, a 20-year SFFD veteran and a former military medic. \u201cI used the analogy when we got back to the firehouse\u200a\u2014\u200awe were sitting at the table. I said, \u2018You know, this guy reminds me of a book I read, Of Mice and Men.\u2019 And [he] reminded me of Lenny.\u201d<br \/><br \/><strong>VIII. THE CASE AGAINST THE HOSPITAL<\/strong><br \/><br \/>A couple of months after the California Transplant Donor Network sent the Aspelins their initial thank-you letter, the agency forwarded the family a letter written on February 1, 2011, from the mother of the girl in Tacoma, Washington, who received Johan\u2019s heart. The mother expressed her family\u2019s tremendous gratitude, and Jennie wrote back the following month, telling her that she had been keeping \u201cthe letter with me at all times so I can read it whenever I am sad.\u201d Jennie also detailed the child abuse charges pending against Kristian, figuring that the recipient\u2019s family might Google them and find out on their own. Shaken baby syndrome \u201cis a very polarizing topic and if you\/your family have strong opinions about it, it\u2019s best you know about our situation now,\u201d Jennie wrote. \u201cI would not be able to handle it if you were to find out about us later and abruptly cut ties.\u2026\u201d<br \/><br \/>The mother took a long time to write back\u200a\u2014\u200anine months. By this point Jennie had a much more detailed and infuriating story to tell about her family. Johan\u2019s complete medical files revealed two major, plot-scrambling incidents.<br \/><br \/>First, minutes after Johan was admitted to San Francisco General, doctors botched the intubation, causing a complete collapse of one lung and severely compromising the other.<br \/><br \/>Second, the hospital botched his sedation, twice overdosing Johan with the anesthetic drugs\u2014he received as much as eight times the appropriate dosage of Versed both times he was injected, and he was administered as much as 2.3 times the correct amount of rocuronium each time. This left him essentially paralyzed and unable to communicate distress as air was pumped into his compromised lungs. On the second CT scan, taken at 3 a.m., about seven hours after the first, Johan\u2019s brain looked different. Now instead of moderate bleeding and swelling at the top left of his head, he now had a diffuse brain injury, suggesting insufficient oxygen. He also had a blood clot in his superior sagittal sinus.<br \/><br \/>Doctors at San Francisco General are known for their speed and skill in treating trauma victims, but relatively few of those patients are babies. So perhaps one reason why, the next morning, Dr. Stewart believed that abusive shaking had caused Johan\u2019s symptoms is that no one seems to have told him that the hospital had massively fucked up. A chest X-ray taken on November 8 at 8:37 p.m. showed Johan\u2019s collapsed lungs, but it\u2019s unclear when this information was relayed to the ICU. Nowhere in the police investigation transcripts does it suggest that doctors considered Johan had a brain injury and retinal hemorrhaging due to low blood-oxygen levels and high carbon dioxide pressure, problems that may result from faulty intubation.<br \/><br \/>Kristian spent many nights awake, fantasizing about his upcoming trial, as he says, \u201cplaying out scenarios in court to call out the fraud.\u201d Maybe he\u2019d show photographs of various pairs of eyes with retinal hemorrhages and ask doctors to identify which hemorrhages resulted from altitude and which from shaken baby\u200a\u2014\u200aand, of course, they\u2019d fail. Or he\u2019d pose a hypothetical question: Tell me what would happen if you removed 75 percent of the lung capacity on a baby who has overdosed and also had a blood clot. How would that baby fare?<br \/><br \/>Kristian found the juvenile case against him \u201calmost more insulting and harder to deal with, because to be accused of shaken baby\u200a\u2014\u200aanyone can lose their temper at any point in time.\u201d Kristian not only resented civil servants watching him play with Lukas, he found Social Services\u2019 assessment techniques perverse. For instance, the agency wanted to do an anger management study on Kristian but, as he asked me, who in his position would not be terrifically pissed off? He also resented being given a Rorschach test. \u201cI was looking at pictures, abstract art, and telling them what I was seeing? Do I see a butterfly here? Does that mean I\u2019m aggressive and abusive? It\u2019s insane.\u201d Kristian believed the agency possessed an essentially female worldview, whereas he had an essentially male one. They privileged relationships and feelings; he put stock in science.<br \/><br \/>What\u2019s more, Social Services created a logic that put Kristian in a double bind. For a hearing at the Superior Court of California, on February 16, 2011, the department argued that Kristian\u2019s insistence that he was innocent was meaningless. The charges he faced carried a potential life sentence so \u201cif he did inflict Johan\u2019s injuries, he could never admit it\u200a\u2014\u200aat least not now.\u201d<br \/><br \/>Worse, the agency brought up what they considered a \u201cconcerning\u201d event in Kristian\u2019s history: He had been arrested for sexual assault in 1998.<span class=\"article-annotation-mod article-annotation-active\"><a class=\"article-annotation-control\"><\/a><span class=\"annotation annotation-red\">Did you use the word \u201cworse\u201d as a neutral transition, or as a commentary on the bias of various investigators?<\/span> <span class=\"annotation annotation-blue\">I used it as a transition to build to what was a really sensitive piece of material. I thought for a really long time about including Kristian\u2019s prior arrest. Jennie and Kristian were really open with me, but they didn\u2019t tell me about this incident\u2014I just found it in the records. I had many, many discussion with my writer husband and lawyer father-in-law about whether to include the detail, because it\u2019s so explosive. In the end, I felt I had to include it, but I decided that I would not use the word rape, which is in the police reports. One of the hardest phone calls I\u2019ve had to make as a writer was reaching out to Kristian, near the end of my reporting, to tell him that I was going to put the dropped rape charge in the story. By that point, of course, we\u2019d had many conversations, and he trusted me. His wife, Jennie, had really wanted this article to happen, to get their story out there. Of course I told them at the outset that I was a reporter and I was going to call a lot of people and read a lot of stuff and write my own story about their story\u2026. the standard rap. But still\u2014this was the moment when I revealed that I was indeed going to do just that. None of their friends knew about the prior. To their great credit, they were very gracious.<\/span><\/span><br \/><br \/>According to police documents, on the night in question, in Tucson, Arizona, Kristian shared a cab from a party to his apartment building with a University of Arizona student. She didn\u2019t live in that building but she intended to visit a friend. Instead, by choice, she entered Kristian\u2019s apartment. There she fell asleep and, she told the police, woke up to Kristian having sex with her. Kristian, when questioned, said the sex was consensual; she was awake, she helped take off her own clothes. Both agree that, after sex, the young woman freaked out, ran away, hopped a fence, and asked a stranger for a ride to the police station. The case was dismissed, but it lingered prejudicially in Kristian\u2019s files.<br \/><br \/><strong>IX. &#8220;HOMICIDE&#8221;<\/strong><br \/><br \/>Jennie maintained her sanity by watching Lukas sleep\u200a\u2014\u200ahis beautiful brown curls unfurled across the pillow, his body blissfully relaxed. Despite what she called \u201cthis shit tornado storm,\u201d he was, miraculously, still a healthy, well-adjusted kid. She stayed strong for him and for Johan\u200a\u2014\u200aor at least for Johan\u2019s memory; Jennie grew up Catholic but wasn\u2019t sure she had faith in God anymore. She held her family together because love and her character demanded it.<br \/><br \/>Almost a year after Johan died, while running errands, Jennie received an email that made her knees weak: the coroner\u2019s report. Already she understood that everybody had a different version of what happened to her baby\u200a\u2014\u200adoctors believed that Kristian shook him intentionally, Kristian believed that he fell. This version, of course, was particularly important, not just legally but emotionally. For nearly a year Jennie had been waiting for the medical examiner to look at the physical evidence, complete the autopsy, and clear Kristian\u2019s name. She drove home to read the report that Hanlon\u2019s assistant had scanned. Kristian headed to Hanlon\u2019s office.<br \/><br \/>Medical Examiner\/Investigator\u2019s Report, Case 2010\u20131093 is dutiful, bureaucratic, and poignant. Even the stock line drawings of an infant\u2019s body\u200a\u2014\u200alarge head, cute butt cheeks\u200a\u2014\u200awill break your heart. The report begins, \u201cThis unfortunate 3 and a half month old baby \u2026\u201d then goes on to note: \u201cThe body is received in a plastic pouch and is identified by an appropriately labeled Medical Examiner\u2019s tag on the left ankle.\u201d The litany of body parts that the medical examiner describes as unremarkable is an ode to grief, a meticulously detailed list of all the normal perfections, the feet that are so beautiful because they are just like all other feet, the skin that is magical because it is plain and unblemished. \u201cThe face is symmetric, intact, and unremarkable with no dysmorphic features.\u201d \u201cThe mouth and lips are normally positioned and unremarkable.\u201d \u201cThe nose is symmetric and unremarkable. The nasal septum is intact.\u201d \u201cThe forearms and upper arms are normally formed, symmetrical and intact. The hands, fingers, fingernails, feet, toes and toenails are well-formed, intact, and unremarkable.\u201d \u201cThere are no readily apparent scars. There are no readily identifiable tattoos.\u201d \u201cThe visceral and parietal pleurae are intact and unremarkable with a smooth glistening serosa.\u201d Glistening.<span class=\"article-annotation-mod article-annotation-active\"><a class=\"article-annotation-control\"><\/a><span class=\"annotation annotation-red\">Why did you slip into the second person by writing \u201cwill break your heart\u201d?<\/span> <span class=\"annotation annotation-blue\">Along with the Lenny quote, this part of the record hit me so hard the moment I read it\u2026. the clinical autopsy of this perfect little body. As a person, a parent, it\u2019s so upsetting. (I\u2019m not a huge crier but I\u2019m crying as I\u2019m writing this, I can\u2019t even really think about the baby autopsy without crying.) I slipped into the second person because 1.) it\u2019s universal and 2.) because I wanted the reader to slow down. What follows is a close reading of a bureaucratic document and the most searing word in it is unremarkable.<\/span><\/span><br \/><br \/><span style=\"line-height: 1.5\">Then, after the examiner accounts for the \u201cmicroscopic diagnoses,\u201d she writes:<\/span><br \/><p style=\"text-align: left;padding-left: 30px\"><em>CAUSE OF DEATH: CLOSED HEAD\/NECK INJURY<\/em><br \/><em> MANNER: HOMICIDE<\/em><\/p><br \/>\u201cI was crushed,\u201d Jennie told me. She\u2019d been assuming the medical examiner would exonerate her husband. In her one acknowledged moment of doubt, she confronted Kristian one afternoon while walking Gus, their dog. \u201cIs there anything you didn\u2019t tell me about that night? Are you sure?\u201d<br \/><br \/><strong>X. WAR<\/strong><br \/><br \/>Stuart Hanlon amassed testimony from seven medical experts demonstrating how Johan\u2019s injuries could have happened by accident, the abuse diagnosis was flawed, and medical malpractice contributed to Johan\u2019s death. Jennie, infuriated by the medical examiner\u2019s report, told him, \u201cThis is war now.\u201d<br \/>These were the established facts: Johan arrived at the hospital with a head injury. Upon his arrival, doctors screwed up the intubation, resulting in 70 percent loss of lung capacity, a problem not corrected for at least 90 minutes. During that time hospital staff lost control of Johan\u2019s ventilation system; as can be seen in hospital notes, Johan\u2019s oxygen pressure drops and his carbon dioxide pressure jumps. A lack of oxygen can lead to brain death and excessive carbon dioxide can increase pressure in the brain and cause blown blood vessels.<br \/><br \/>The endgame was bizarrely anticlimactic. The case had lingered so long that the prosecuting assistant district attorney changed three times, and the third, a former nurse, seemed more receptive to their arguments. Jennie and Kristian had adapted, almost, to their supervised lives. \u201cIt did start to feel normal,\u201d Jennie says, coordinating schedules with friends about who could watch over their family meals on which nights, as required by the court. \u201cIt\u2019s just like what I do now\u200a\u2014\u200alike we have soccer and tennis.\u201d Jennie had told Lukas that his father didn\u2019t sleep at home because Kristian worked nights, and Lukas was young enough to believe that.<br \/><br \/>On September 5, 2012, Hanlon sent the assistant district attorney a mountain of discovery materials\u200a\u2014\u200amedical timelines, annotated slides of Johan\u2019s brain. (Meanwhile, the medical examiner apparently lost confidence in the autopsy conclusions, amending the manner of death from \u201cHomicide\u201d to \u201cUndetermined.\u201d)<br \/><br \/>On December 4, in the evening, Hanlon emailed the Aspelins to tell them that the following morning a judge would dismiss their case. Jennie and Kristian put on their court suits\u200a\u2014\u200aby that point, they each always had two in rotation. At the courthouse, on December 5, the Aspelins\u2019 case was one of 30 on the docket. \u201cIt was like, \u2018Dismissed, go on with your lives,\u2019\u201d Jennie told me. \u201cAfter screwing us for two and a half years.\u201d<br \/><br \/>Wrapping up the juvenile case proved more complicated. More than 18 months had passed since social workers opened their investigation, and the judge refused to grant another continuance, so the Aspelins and their lawyers decided Kristian\u2019s best option was to plead out. Kristian acknowledged that he was in possession of the child when he became injured and those injuries may have led to his death. He was registered in California\u2019s Child Abuse Central Index.<br \/><br \/>Kristian finally allowed himself to grieve Johan\u2019s death, looking at the small shrine Jennie had created in their bedroom, complete with a Lego angel. He focused on his supply-chain planning software business. He wanted to put his legal problems behind him. But Jennie felt furious and needed absolution. By this point she was pregnant again\u200a\u2014\u200awith triplets. She\u2019d started trying to conceive just four months after Johan died, a bulwark against the floodgates of loss, but until now she\u2019d been too stressed to produce viable eggs. She still had social workers coming to her house, which she hated. \u201cI was like, \u2018I\u2019m having more children with this man\u200a\u2014\u200ahe\u2019s not beating me! Go away!\u2019\u201d<br \/><br \/>It took three months, a 300-page motion, a two-day trial, and a cost of $9,000 to the family to get Kristian\u2019s name expunged from the abuse registry. The Aspelins needed to wipe the slate clean.<br \/><br \/><strong>XI. TRIPLETS<\/strong><br \/><br \/>Jennie carried the triplets to 35 weeks. When she gave birth, on January 29, 2014, Peter and Rudy, who are identical, weighed 3 pounds 11 ounces and 5 pounds 14 ounces, respectively. Tommy, their fraternal triplet, weighed 5 pounds 9 ounces. From the postpartum room at California Pacific Medical Center, Jennie and Kristian watched on TV a news story about their family and the faulty science of shaken baby syndrome.<br \/>It had been three years since the first responders had entered the Aspelins\u2019 home, noticing their ill-placed Lego table, their disfigured dog, their poorly behaved son. Three years since the on-call pediatric resident felt that something about Kristian\u2019s story just didn\u2019t add up. Three years since the doctors decided that Johan\u2019s brain injuries and bleeding eyes looked like parental malice.<br \/><br \/>Those stories had decimated Jennie\u2019s family, and now that she was out from under them, she was determined to burn into the public record her own version of the nightmare. She called the media\u200a\u2014\u200aNPR, CBS. She gave footage to a documentary filmmaker. She made endless time for me. Tragedy, for each of us, requires a tolerable narrative. \u201cWe look for the sermon in the suicide, for the social or moral lesson in the murder of five,\u201d Joan Didion wrote in her essay collection \u201cWe Tell Ourselves Stories in Order to Live.\u201d \u201cWe interpret what we see, select the most workable of the multiple choices.\u201d<br \/><br \/>The versions we choose often remain irreconcilable. In Jennie\u2019s, her husband picked up the kids from daycare; he slipped in the kitchen; Johan hit his head, but the baby would have been home from the hospital the next day if doctors hadn\u2019t killed him. As a means of enduring the unendurable, Jennie\u2019s cinematic tidying up makes sense. She refused to let the arrest of her husband for the death of her son destroy her marriage. So she took a terrible story doctors, police, and social workers told about her husband and turned it into a terrible story about social workers, police, and doctors. But Kristian tells a different story, a messier one, one that seems to be struggling to contain the range of available facts. In his, he\u2019s legally innocent but not blameless. He had an accident in which he gravely wounded his son; Johan, in his vulnerable state, was too weak to survive the hospital\u2019s mistakes, and he died. Kristian is careful not to misrepresent this. Every day he wears a Donate Life bracelet, a reminder of Johan and the girl who\u2019s growing up with his son\u2019s heart.<br \/><p class=\"p1\"><span class=\"article-annotation-mod article-annotation-active\"><a class=\"article-annotation-control\"><\/a><span class=\"annotation annotation-red\">How did you choose this ending? I could see you ending with the triplets and not Kristian\u2019s messy story.<\/span><span class=\"s1\"> <span class=\"annotation annotation-blue\">I know it would be the conventional move to end back where I started, with Jennie and Kristian&#8217;s sons, and describe a moment with the triplets and older son. But I loved ending on that bracelet. It was one of those details, when Kristian showed me, that stuck in my throat for months. The bracelet is Kristian not letting himself forget Johan, despite the true horror of his death and its aftermath. The triplets are the moving on, the positive future, the let&#8217;s-bury-ourselves-in-babies-and-all-their-new-love. The bracelet is a hair shirt. The bracelet is the messy past.<\/span><\/span><\/span><\/p>\n        <\/div>\n    <\/div>\n","protected":false},"excerpt":{"rendered":"<p>Elizabeth Weil\u00a0had never written about criminal justice, but when asked to write about a controversial case of whether a baby was killed by his father, she produced the gripping &#8220;What Really Happened to Baby Johan?&#8221; Her story raises questions about the line between accident, murder and malpractice, and the reasons why certain cases come to [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":5427,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[10],"tags":[],"topics":[],"authors":[196],"issue":[],"class_list":["post-1318","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-annotation-tuesday","authors-steve-weinberg"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.5 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Annotation Tuesday! 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