COMMONWEALTH OF MASSACHUSETTS     

MIDDLESEX, SS.                                                      SUPREME JUDICIAL COURT     
                                                                                     FOR THE COMMONWEALTH     
                                                                                     No. SJC-07635     


                                                              COMMONWEALTH     
           
                                                                          V.     

                                                             LOUISE WOODWARD     

                         ______________________________________________________     
   
                                 LOUISE WOODWARD'S POST-ARGUMENT BRIEF     
                         ______________________________________________________     



Andrew Good                                                             Barry C. Scheck     
BBO #201240                                                             Benjamin N. Cardozo School of Law     
Harvey A. Silverglate                                                  55 Fifth Avenue, Room 1701     
BBO #462640                                                             New York, NY 10003     
SILVERGLATE & GOOD                                         Tel. (212) 790-0368     
83 Atlantic Avenue                              
Boston, MA 02110-3711                                            Elaine Whitfield Sharp     
Tel: (617) 523-5933                                                    BBO #565522    
                                                                                   WHITFIELD SHARP & SHARP     
                                                                                    196 Atlantic Avenue     
                                                                                    Marblehead, MA 01945     
                                                                                    Tel. (617) 639-1862     
    
Date: March 10, 1998

     Defendant, Louise Woodward, submits this supplemental brief, if given leave to do so, in order to 

clarify certain points raised during oral argument.

     I.   The Commonwealth stated at oral argument that Matthew Eappen "lived on a respirator 

for one week."  The record shows that Matthew Eappen died on February 9, 1997, five days after his 

admission to the hospital on February 4th.  At trial, the defense presented unrebutted pathology evidence (a 

photomicrograph of a slide, Exhibit 94-1) displaying the presence of "osteoblasts" and "growing bone" in a 

tissue specimen taken from the epidural surface of the dura at the skull fracture site.  Dr. Jan Leestma, the 

neuropathologist who made the slide, Dr. Michael Baden, a pathologist who routinely makes and reviews 

such slides, Dr. Alisa Gean, a neuroradiologist, Dr. Ayub Ommaya, a neurologist and neurosurgeon, and Dr. 

Ronald Uscinski, a pediatric neurosurgeon, all testified that the "osteoblast" and "growing bone" 

observation on Exhibit 94-1 proved that the skull fracture was "weeks old."  9:106-110; 10-186-187; 13:24; 

11:169-170; 12:74-75; 12:270-271.  The defense specifically made this point in closing argument, holding up 

Exhibit 94-1 to the jury.  15:17. 

     The Commonwealth had the opportunity to rebut this preclusive scientific fact by disputing either 

the existence of the osteoblast cells and growing bone at the site of the skull fracture or the scientific 

certitude that the existence of osteoblasts means that the skull fracture was more than a week old. The 

prosecution never presented rebuttal evidence on the issue nor addressed it in closing. Given the 

uncontradicted state of the record, there was no occasion to bring additional scientific texts to the attention 

of the jury.  The defendant had no burden to elicit a concession from the Commonwealth's expert, 

particularly where that expert had already stated, on direct examination, that he did not know the 

significance of the periosteum in the fracture site specimen. 5:30-31.  The Commonwealth's radiologist, Dr. 

Robert Cleveland, agreed that microscopic studies of the skull fracture could reveal evidence about the skull 

fracture's age that could not be detected by radiological means.  3:224.  The required finding motion should 

have been granted because the conclusively exculpatory pathology evidence was unrebutted.

     II.   The Commonwealth argued that there is some reason to doubt Dr. Jan Leestma's 

qualifications to give the unrebutted conclusive testimony concerning the presence and significance of 

osteoblasts and growing bone at the skull fracture site.  The Commonwealth's witness, Dr. Umberto De 

Girolami, testified that the Dr. Leestma’s text on forensic neuropathology is authoritative and that Dr. 

Leestma's qualifications to address the forensic issues are superior to his own.  5:43-45. Dr. Leestma was 

qualified as an expert in the fields of forensic neuropathology, neuropathology, and pathology, 9:29, while 

Dr. De Girolami was qualified solely in neuropathology.  4:260. 

     III.  This Court can and should take judicial notice, based upon the authoritative scientific texts 

cited in Woodward's Reply Brief (see page 3, fn 2), that, during the fracture healing process, osteoblasts do 

not appear in less than seven days.  Matters which are proper subjects of judicial notice are not limited to 

familiar or widely known facts, as distinguished from relatively "arcane" scientific facts which are well-

known and undisputed in a specialized scientific field, such as pathology.  For example, at the request of 

the Commonwealth, even though the justices were probably unfamiliar with the physics underlying radar, 

this Court took judicial notice of scientifically established facts pertaining to the operation of radar in 

Commonwealth v. Whynaught, 377 Mass. 14, 17 n.1 (1979).  Though the Court was not conversant or 

familiar with the serology underlying blood testing to determine paternity, it relied upon published 

authorities in the relevant scientific field and took judicial notice of the scientific certitude on which such 

testing is based in Commonwealth v. D'Avella, 339 Mass. 642, 645-646 (1959)(citing the Journal of

Immunology).  The serological facts of which this Court took judicial notice in D'Avella and the physics 

involved in Whynaught are neither more nor less arcane than the scientific fact that, according to the 

authoritative texts in the science of pathology, osteoblasts do not appear at the skull fracture site in less 

than seven days.  The pathology texts relied upon as the basis for judicial notice are even more authoritative 

than the series of articles cited in D'Avella and Whynaught, because these pathology texts are the black 

letter "hornbooks" of pathology.

     IV.   In response to Justice Abrams' question as to whether Dr. Eli Newberger's testimony 

alone could support a verdict of second-prong malice second-degree murder, Mr. Silverglate responded "yes, 

if believed."  Dr. Newberger testified that his opinion that the skull fracture was new, which was based 

exclusively on in vivo diagnostic techniques such as radiography, would change if there were 

neuropathological evidence showing that the injury was old, 7:147, demonstrating the comparatively indirect 

nature of the in vivo data underlying Dr. Newberger's opinion with respect to the age of injury versus the 

admittedly more direct and superior cellular evidence of an injury's age that can be provided, post-mortem, 

only by microscopic pathological examination of tissue and bone.    Dr. Newberger agreed that his opinion 

was subject to confirmation, or correction, by neuropathological analysis.  The defense presented 

unrebutted neuropathological evidence that conclusively undermined Dr. Newberger's diagnosis because the 

latter was based exclusively on inexact, non-cellular data such as in vivo radiography.  

                                                                                        Respectfully submitted,


                                                                                        Harvey A. Silverglate
                                                                                        BBO #462640
                                                                                        Andrew Good
                                                                                        BBO #201240
                                                                                        Silverglate & Good
                                                                                        83 Atlantic Avenue
                                                                                        Boston, MA 02110-3711
                                                                                        Tel: (617) 523-5933
                                                                                        Fax: (617) 523-7544

                                                                                        Barry C. Scheck
                                                                                        Benjamin N. Cardozo School of Law
                                                                                        55 Fifth Avenue, Room 1701
                                                                                        New York, NY 10003        
                                                                                        Tel. (212) 790-0368
                                            
                                                                                        Elaine Whitfield Sharp
                                                                                        BBO #565522
                                                                                       WHITFIELD SHARP & SHARP
                                                                                        196 Atlantic Avenue     
                                                                                        Marblehead, MA 01945
                                                                                        Tel. (617) 639-1862



                                                            Certificate of Service

     I, Andrew Good, hereby certify that I have this day served the foregoing motion on Assistant 
District Attorney Sabita Singh, 40 Thorndike Street, Cambridge, MA 02141 by causing a true copy of same 
to be faxed and mailed via first class mail.

                                                                         ____________________________
                                                                                           Andrew Good

Date: March 10, 1998