There was no fear of anything. I dont know if something snapped. I was shocked. I couldnt say anything. A doctor comes home but not for long. An hour later, she was back at the hospital she just left. She had this blank stare in her eyes. Three days later, she was dead. I said, she is my child and i gave birth to her and i want to know what happened to her. At first, it was just a medical mystery. For all intents and purposes she should be alive. It was out of this world. It made no sense. But soon, it became a Murder Mystery. Because once they discovered what killed her, the next question was who. If he couldnt have her, no one was going to have her. I still have it made sense of it. Welcome to dateline. The doctor was in the business of saving lives but the doctor became a patient one Out Of The Blue she collapsed and was rushed to the e. R. Now the seemingly Healthy Woman in the prime of her life was fighting for her life. It was a medical mystery or was it . This is the case for doctors in the police here is Dennis Murphy with lethal weapon. The Emergency Room Trauma Team was losing her. She had been wheeled in and gasping for breath. Her heart stopped. We had to restart her heart. Within minutes, machines were doing the breathing and Blood Circulation for the 41 yearold. Wife, mother, medical doctor, a rising star in the field of womens neurology. A star whose light was beaming even as they tried desperately to keep her going. These are doctors who are treating Trauma Patients every day. This one had totally puzzled them. The Woman Bailing in the e. R. , doctor matt klein, was in many ways what modern pittsburgh was all about. The Downtown Powers didnt need to worry anymore about remedies that the Steel Mill Smokestacks along the river. The Steel Industry here had mostly died by the early 80s i moved overseas. Universities, technology, medicine, finance, that was the foundation of the new pittsburgh they called the renaissance. Robert and his wife relocated from boston and were the kind of minds the city was hoping to attract. Autumns colleague, she said she loved pittsburgh. She loved her patients. The people of pittsburgh were wonderful and she was so happy to be there. Autumn had intended to be a caregiver. Her cousin remembers that even as a little girl she administered playtime tlc. We have a Doctors Office and our patients for our stuffed animals. And she was holding clinic hours. She was a doctor. It was an interest that took root early and never left, and always at the top of her class. She later got her Undergraduate Degree in neuroscience. Helping people was the main thing. She was just so smart and so intelligent and thoughtful and caring. You and your husband must be very proud of her. We were. Lois klein is her mom. We knew she was putting her mind on her study and we were giving her the best education we could possibly give her and she was taking advantage of it. Med school was a certainty. She announced she was heading to boston and her mother worried that the crime rate was too high. She said, i am going to Boston UniversityMedical School and i said, no youre not and she said, yes, i have and i said, no youre not and she went to Medical School in boston. She developed a reminding thing for a colleague and heat for her. He held a phd in neuroscience and was hunting for tours to Brain Illnesses like lou gehrigs and huntingtons diseases. He was also more than 20 years her senior. Divorced with two grown kids. I simply told her that was a little too old for her. I didnt think that was the right age. Two days before graduation from med school, a determined autumn wasted no time and was walking down the aisle with her much older room. What was your impression . Nice guy. Nerdy . Yes. And she kind of was and kind of wasnt. They made a home outside of boston and in a few years a baby girl arrived. Autumn took it in stride. Hum diaper changes nothing for her. I mean, a call from the hospital, you have to take care of the patient. She is used to that. The new mother was becoming a sought after specialist. But she was growing frustrated with boston and professionally she felt as though she had crested there. That is one pittsburgh looped interview. In 2011, the University Of Pittsburgh in the Medical Center offered a career move. For bob, a research lab and for autumn, a check to head her own department. Autumn was not just a rising star, she was a shooting star. She was nationally recognized as a leader in her field at a very young age. But still something was gnawing at her. A kind of emotional vacuum. She wanted to have another child in in her early 40s, she was taking Fertility Treatments but nothing was happening. Wasnt really eating away with her that she wasnt getting pregnant . Yes. And just speaking from experience, Fertility Treatments are the loneliest place a limit will ever go. Looking back, her mom recognizes now some worrisome signs. Changes in her daughter. I kind of saw she wasnt herself too much anymore. She was kind of a little, what you call it . Kind of down, maybe. In early 2013, they tried a new approach to the baby problem. A Fertility Doctor thought the Supplement Note as creatine might help autumn get pregnant. As it turned out, her husband had been using the stuff it is research. So on april 17th, autumn, was ready to give it a try. She texted her husband that day. I ovulate tomorrow. He answer, perfect timing. These are Hospital Security camera pictures that show autumn throughout the day and leaving work that night. 10 minutes later, she was home and minutes after that, her husband was on the phone to 911. Hello. Please, please. His wife was gasping for breath. The dispatcher asked the husband what he was seeing. I think my wife is having a stroke. Paramedics arrived at the home to find a woman in very bad shape. She was lying on her back on the Kitchen Floor. Her eyes were open and she was unresponsive. An hour after walking home from the Medical Center where she worked, was back as a patient in its emergency room. And whatever was happening to her was a medical mystery to the team trying to keep her alive. Then they saw the blood. Out of the experience. So read. Autumn is surrounded by some of the best doctors in the country but no doctor can work miracles. Coming up, maybe someone else could. When dateline continues. Including those with asthma, diabetes, copd, and certain other conditions. But im protected. Arexvy is proven to be over 82 effective in preventing lower Respiratory Disease from rsv and over 94 effective in those with these health conditions. Arexvy does not protect everyone and is not for those with severe allergic reactions to its ingredients. Those with weakened Immune Systems may have a lower response to the vaccine. 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Then incomes the ventilator. The machines are taking over. To keep her alive so they could determine What In The World was going on. At some point did they realize this is one of their own . A brilliant young doctor that works in the Neurology Unit . They did at one point. I dont think they would have treated anyone differently but she was one of them. One of the team. When her husband bob ferrante arrived, he tried to give the team some of his medical history. He explained she was on fertility hormones. She had headaches, fainting spells, and she generally was expressing she hadnt been feeling well. He told the e. R. Doctors he thought his wife was suffering a stroke though diagnostic test set otherwise. By then, bob ferrante had already called his father and motherinlaw at their home near baltimore with the bad news. Autumns mother said they got in the car immediately to drive through the night to pittsburgh. She was counting out the exits. I said, please let me get to frederick and then let me get to hagerstown. Please let me get to hancock and please let me get to pittsburgh. Back in the e. R. , a resident trying to rally her body stuck an iv into her and noticed something quite odd. Her blood in the tube showed shocking red. The observation . This blood is to read . Why am i seeing blood this brilliantly red . To them this was out of this world. They could not make any sense of it. Eventually, autumn went into Cardiac Arrest and doctors managed to bring her back, barely. They took turns doing Chest Compressions to try to get some reaction from her and get her heart moving and pumping again. Another doctor reviewed her symptoms and ordered tests. He wanted a toxicology and hours passed and her blood was being pumped into a machine that was doing the oxygenating work of her heart and lungs. At some point, word reached her cousin now living in Washington State. Sharon talk by phone to her husband bob and was paid for his medical background. He was calling his colleagues and it was great to use those resources. I have no idea whats going on. Eventually, autumn lost Rain Function and by the time her parents mated to the hospital, they could see there was little hope for their daughter. They had a lot of tubes and things hooked up to her. I held her hand and i talked to her. And i told her, you heal everybody elses brain, why cant you heal your own . Sharon wanted desperately to fly from Washington State to see autumn, and her aunt lois told her to wait. Thats my other half in that hospital bed. I need to be there. Doctors managed to keep her alive for two days but at some point to tell that her grieving husband had run out of hope. He did say that he was going to spend the last night with the love of his life. And at the time i thought, its not over yet. But in the e. R. Suite, everyone knew it was. Autumns little girl was brought to her bedside. She made some comment to somebody about i dont think mommy is ever going to come home again. On the third day, they pronounced her dead and turned up the machines keeping her alive. A lot of my life feels like it doesnt make sense without her. She was there for everything. Autumns husband and family now had Funeral Plans to make and darker days to get through but one person wasnt done with the case of autumn klein. His work was just Getting Started. The doctor, and associate Medical Examiner, performed the autopsy on autumn. It was regarded as an unexpected death. Which meant the county needed to figure out why this otherwise Healthy Woman was dead. There was no reason to suspect fertility hormones, vitamins or supplements could have led to her collapse. Her brain showed no signs of a stroke though an examination of the heart revealed an abnormally shaped heart valve. It is an anomaly found in approximately 2 of the population. Doesnt lead to early death . Not in your 40s. At the conclusion of the autopsy they were perplexed as to what killed this woman. Im not seeing anything. I see a healthy white female and for all intents and purposes should be alive. On the form that asked for cause of death, he wrote, pending. No definitive answer, but in a few days he would have more information. The bloodwork was back from the lab. Autumn klein had suffered a very unnatural death. Coming up. What exactly had killed autumn. I was shocked. I couldnt say anything. Or is the question, who . When dateline continues. Director cut jordana, easy on the gas. Force of habit. I gotta wrap this commercial, i think im late on my payment. Its okay, the general gives you a break when you need it. Yeah, we let you pick your own due date so you can pay your Car Insurance when its best for you. Well thats good to know, because this next scene might take a while. [ helicopter and wind noises ] for a great low rate, go with the general. 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Now, i work at comcast as part of the team that created our ai highlights technology, which uses ai to detect the major plays in a sports game. Giving millions of fans, like my dad and me, new ways of catching up on their favorite sport. Two days after the associate Medical Examiner performed his autopsy on autumn klein the phone rang. The voice on the other and was from the hospital. The blood test for back and dr. Todd luckasevic was startled to hear what the lab found. Lethal daily amount of cyanide. What did that tell you . That tells me we have a cause of death now. Sinai, the poison of the Nazi Death Camps and not a common cause of death. I have done approximately 3500 cases in my career and this is my first case of Cyanide Poisoning. The Toxicology Work that levels of 3. 5 milligrams 3. 35 milligrams in autumns blood. Still, he needed to confirm the result with his own tests. He wanted to reexamine her remake to see if he could find cyanide in other parts of her body. But by then, he related to the funeral home. Heres an easy solution. You go back to the body and take a second look we would love to, but when we got the phone call on tuesday, i called immediately to the funeral home and she was cremated. But they had samples of her blood. Its toxicology unit performed its own test for sinai. Analyst alicia smith added a simple solution to the blood and if it was present in the sample, it would turn the center well of this this purple. She and luckasevic demonstrated what they found. Sure enough, the sample change color. The color change was a Deep Dark Purplish pink. And it was obviously positive for cyanide. Any amount, even though one milligram per liter and a light pink color change means there is cyanide there and a lethal amount. Autumn klein had died of Cyanide Poisoning, no question about it. He grew even more confident when he reviewed the details of how she collapsed and suffered. Once ingested, it can quickly starve the body of oxygen. Oxygen is on the blood but not being utilized by the body. It was the trapped oxygen that turned the blood that vivid red. He also considered the 911 call. The husband is begging for help and autumn can be heard moaning in the background. Luckasevic says that is likely autumn trying to breathe and even though was that a bizarre death, he contacted the police. I let them know the cause of death is Cyanide Poisoning. He wanted to know if autumn committed suicide or was poison. In other words, murdered. There was a note on my desk saying the Coroners Office had a woman come in who had a lethal level of cyanide in her system. How many of those have you seen in your career . It is my first one. Soon, autumns mom was given the news and then she called her knees in washington. She said, are you sitting down. I said okay. And she said it was cyanide. Just like that . And i was shocked. I couldnt say anything. I couldnt catch my breath. When autumns colleague heard about it, she knew right away her friend has suffered an agonizing death. As a medical professional, i know how people die of Cyanide Poisoning. And i couldnt dwell on that. Just said in an old Agatha ChristieMurder Mystery about a Cyanide Poisoning in the villag