​Less than a month after being found not-guilty of failing to provide the necessaries of life to his 18 month old son Ezekiel, David Stephan is calling for a full inquiry into all past autopsies performed by a former Alberta Medical Examiner.  At the same time colleagues at the University of Calgary, have expressed disapproval of the verdict are alleging racism in the court ruling. A media campaign containing the allegations and what appears to be an unjustified attack on Justice Terry Clackson spread like wild fire across Canada last week. Perjuries, refusal to answer questions, angry rants and explosive outbursts were all things Court of Queen's Bench, Justice Terry Clackson had to deal with during the 7 days of testimony of Dr. Bamidele Adeagbo.  After the Stephan's 2016 trial complaints were made to RCMP over allegations of perjury during Dr. Adeagbo's testimony.  Shortly after this, Dr. Adeagbo relocated to Terre Haute, Indiana where he now works at the Terre Haute Regional Hospital.  By all accounts it appears that Crown prosecutors struggled to have Dr. Adeagbo return to Court in Canada for the June-August trial. Recently, released court records paint a grim picture of the dysfunction that took place during the 2019 Stephan Trial and leaves more questions than it provides answers.

David Stephan Source: Facebook

Crown prosecution was repeatedly warned of issues with star witnesses credibility and disruptive tendencies 

In March of 2019, Crown Prosecutor Britta Kristenson made application with the Court of Queens Bench to have former Alberta medical examiner Bamidele  Adeagbo testify over video link.  She claimed over 20 hours of flights to get from Indiana to Lethbridge, Alberta and costs of travel as her primary justification.

Flight prices and times from Indianapolis, IN to Lethbridge, AB highlight stark contradictions and inaccuracies in Crown Prosecutors pleadings.

Former Alberta Medical Examiner Dr. Bamidele Adeagbo

The application was opposed by the self represented Stephans. They cited an inability to understand the Doctors broken english which would be worse over video link, and alleged that he had perjured himself during the last trial as justification for requiring him to attend in person. The Crowns Application was granted and the resulting disruptions to the trial would result in Dr. Adeagbo's testimony being splayed out over two months and delays to the trial exceeding a month. ~Former Medical Examiner required "protection" before attending trial in Canada.  Two body guards assigned to protect Dr. Adeagbo~

Race baiting used by the University of Calgary's Bio-Ethicist to attack Court of Queen's Bench Justice Terry Clackson.

"Professional Activist" and University of Calgary Employee, Juliet Guichon, has rallied numerous colleagues to her cause, claiming racism as a factor in the Justices comments.  Comments taken out of context by the University of Calgary Bio-Ethicist were not included with the misbehaving doctors transcripts.  The comments used to address a defense argument over the Former Alberta Medical Examiners behavior and credibility issues are being used as race baiting to attack a Court of Queen's Bench Justice, who has at worst, simply downplayed the unprofessional antics he had to tolerate during 7 days of Court proceedings.  Race-baiting articles initiated at the University of Calgary

Screen shot of University of Calgary website. University of Calgary's Juliet Guichon employs race baiting in what appears to be an attempt to protect Assistant Professor Bamidele Adeagbo and lay blame on an Alberta Superior Court Justice.

Two reporters were visibly upset when they realized they were being filmed having an "off the record" conversation during the Oct. 2018 Jeromie & Jennifer Clark trial, with the University of Calgary's, Juliet Guichon, who was involved in the race baiting attack of Alberta Court of Queen's Bench Justice Terry Clackson.

In the letter signed by over 40 colleagues of Ms. Guichon, a comparison was made between Dr. Anny Sauvageau and her former employee Dr. Bamidele Adeagbo.  The comparison focused on the fact that both Doctors had an accent. The letter accuses Justice Terry Clackson of ad hominen attacks against the Nigerian Doctor, but does not include the long list of behavioral antics performed by Dr. Adeagbo during the trial.  These antics compounded the issues surrounding his language barrier and disrupted the court proceedings repeatedly.

Justice Clackson repeatedly attempted to calm down and redirect disrespectful and disruptive behaviors of Former Alberta Medical Examiner

​During one explosive rant, Dr. Adeagbo paced the floor while yelling at the Court and the questioner in an indiscernible dialog all while seeming oblivious to the fact that he was testifying in a court of law. After allowing the tirade to continue for some time, Justice Terry Clackson was forced to intervene.

Left: Court of Queen's Bench Justice Terry Clackson, a proud father standing next to his daughter. Right: Former Alberta Medical Examiner Dr. Bamidele Adeagbo

Former Alberta Medical Examiner misrepresented facts repeatedly during Stephan Trial over death of toddler

Ezekiel Stephan autopsy possibly the worst show of incompetence every pointed out in Alberta OCME history

Competence in question:  Dr. Bamidele Adeagbo believed medical evidence showed that Ezekiel was dead anywhere from 4 to 9 hours prior to the 911 call operator listened to him breathing.

Ezekiel and his Mother Collet Stephan. The way they looked at each other showed deep love and connection

Answer: ... "When I look at those formulas, including the use of synovial fluid, the guide, based on the potassium level, shows that the death, if we put the 6.4 we have here into that formula, ranges between 3.9 hours to 8.8 hours. So that just says 4 to 9 hours at that time."

Cardio Pulmonary record showing that CPR had been discontinued minutes after Ezekiel entered into the hospital.

Dear Reader, This is but a small sample of what is found on the record surrounding the poor conduct of Dr. Adeagbo that has nothing to do with his ethnicity.  With everything that was said and done by Dr. Adeagbo, it is clear that the recent attacks against Justice Terry Clackson are agenda driven and malicious.  In our opinion, Justice Terry Clackson could've, and likely should've,   done much more than just point out that Dr. Adeagbo's evidence was indiscernible and lacking credibility. ​  The recent and baseless claims of Justice Terry Clackson acting in a racist fashion, appears to be nothing more than a desperate attempt by the establishment to control the Courts through defamatory actions, while deflecting responsibility away from the organizations they represent. Namely, the University of Calgary and their Alberta Children's Hospital which originally incited the criminal prosecution on the Stephans at the same time that they were covering up the fact that their testing showed that Ezekiel did not have bacterial meningitis and that Ezekiel had actually died from oxygen deprivation in an ambulance. In light of the deception and lack of credibility coming from both Alberta Health Services and the Office of the Chief Medical Examiner, David Stephan wonders, "how many people are walking free when they should be behind bars, and how many people are behind bars when they should be walking free? There needs to be an inquiry into the Office of the Chief Medical Examiner, especially surrounding the autopsy findings of Dr. Adeagbo that have all too often become a topic of controversy".

Progress report obtained from PADIS showing that Doctors at the Alberta Children's hospital were aware that Ezekiel did not have meningitis upon arrival. Many questions were raised after this report was uncovered.

Not Guilty Stephan Verdict Justice Terry Clackson 

Missing Records

Court of Queen's Bench heard Monday that almost all records of a visit by 18 month old Ezekiel Stephan to the Chinook Regional Hospital were missing.   On March 14th, 2012, 18 month old Ezekiel Stephan entered the Chinook Regional Hospital with a medical team from Cardston Alberta.  What was supposed to be a routine stop over on their way to Alberta Children's Hospital quickly became every parents nightmare.

On Monday June 18, 2019 in the Court of Queen's bench Dr. Shauna Burkholder directed the Court to evidence of a Severe Cardiac Event in the Lethbridge Hospital that took place during the period where records are missing.  ​She pointed out it was the result of a mistake by Dr. Alexander Cunningham where he has began to ween 18 month old Ezekiel Stephan off a medication he was relying on to live.

Dr. Sandy Cunningham

Doctor's notes showing that there was an attempt to wean 18 month old Ezekiel off Epinephrine while he was critically ill and during transport from the Cardston Hospital to the Calgary Children's Hospital.

Dr. Shauna Burkholder

Ok, so this is a tough post.  It was tough to watch and its going to be even harder to express what I saw as I sat in the court room.  Eye opening for sure.  At times I have thought there is no humanity! But then I see the absolutely heart wrenching efforts of a father standing at the front of a room against all odds, doing everything he can to shelter and protect his wife and other 4 children.  And I melt.   The finger pointing has started.  There is a lot of it.  It seems that every medical professional involved remembers things about what the others have done wrong but when a question comes up about their conduct they either can't remember or are suddenly unqualified to speak to the event.   I'm going to break it down for you:

Source: Lethbridge Herald. David Stephan interviewed outside the Court House in Lethbridge Alberta

Day one
No Symptoms; more questions than answers.

Day one of the trial was not a surprise.  Registered Nurse and friend of Ezekiel's mother, Terrie Shaw testified that she visited and checked Ezekiel's vitals.  Collet Stephan had complained that he was more tired than usual and appeared to be achy with muscle stiffness. Terrie testified that there was nothing she could see of concern and that if Collet wanted to know more then to take Ezekiel into a doctor.   They looked up viral meningitis as a possible reason for the muscle stiffness but Ezekiel did not have the symptoms to match that either.

Answers and clues: Quite literally, nothing lined up

Ken Cherinowski, paramedic testified: the EMS had not secured the endotracheal (breathing)  tube.  That they were driving while holding it by hand.  That a mass of air had entered Ezekiel's stomach as a result of too much pressure on the bag valve mask or possibly and endotracheal tube being placed in the esophagus rather than the trachea.   The bag valve mask and laryngeal mask would not seal or get "Chest rise" because they had been destocked and they did not have pediatric airway supplies. The PCRs were left "open" for days after the incident and not finalized.  This was for "accuracy" so they could add stuff later.

X-Ray showing a mass of air in Ezekiel's stomach that was forcing his left lung, heart and trachea to the right.

Dr Lloyd Clark testified: ​That his medical report was wrong. That Dr. Cunningham's medical report was wrong. That his recorded conversations were wrong. That the Cardiopulmonary Report was wrong. That his testimony from the last trial was wrong. That his memory was not accurate and the medical records were important. That all the documents showing he was involved in an intubation in the back of the ambulance were incorrect and that the intubation did not happen. That the Ambulance achieved an airway before arrival, this in spite of a recorded conversation being played that had him discussing the ambulance issue as 12 minutes of travel without getting air into 18 month old Ezekiel Stephan.

A concern was raised over Dr. Clarkes previous notoriety which he earned in 2018 when he made some hard remarks to a group of homeless Natives in the small Southern Town of Cardston Alberta.  News of his actions made national headlines.    ​Dr. Lloyd Clark testified that it was because of the Stephan's case that he had misbehaved during this time. He then accused a member of the Stephan Family of calling him a murderer and perjurer on social media.   He then testified that after hearing that the case was going back to court that he felt the need to seek legal representation.  (His Bennet Jones Lawyer accompanied him to court where he indicated that he would likely be representing Dr. Clarke in the civil litigation to follow the trial)

Facebook post referred to by Dr. Lloyd Taylor Clarke.

Dr. Clark then continued on with his testimony.  When asked to identify an X-ray he had ordered and interpreted he testified: he was unqualified to give testimony on the film.   The justice promptly straightened him out.  The Xray seen to the right shows a zoom in on the trachea.  You can see on the film that the trachea, lungs and heart are all offset to the childs right side.   This could create catastrophic "intubation difficulties". You can aslo see a dark spot in his trachea about the same size as the intubation tube.  In the autopsy photos a deep gouge was found directly below this spot.   The medical Examiner would later testify that Ezekiel did not have an infection in his lung.  It formed only on the outside of the lung.  It is believed that the intubation tube placed in the back of the ambulance in the ambulance bay punctured Ezekiels Plural Cavity and created the infection.

X-Ray taken of Ezekiel Stephan shortly after arrival to the Cardston Hospital.

Dr. Clarke was asked if he knew anything about a tracheal tear.  He responded that it was the first time he had heard of it.   He was then shown the contents of the social media post he had complained about.  The contents were exclusively limited to discussion surrounding a tracheal puncture.   At this point he claimed he was not qualified to speak to the difference between a tracheal tear and a tracheal puncture.

text from the trial transcript where Dr. Lloyd Clarke testified on his first day that he was involved in the intubation in the back of the ambulance. He later recantted the testimony saying that he had forgotten what happened that day and now had a better memmory of it.

Thank you ! Thank you to the individuals who have provided information thus far. Many people from AHS have come forward and have either provided information or told us to stop digging.  Either way its been telling and has assisted us in determining who and what we need to focus on in the coming weeks of trial.    There is a current claim that Medical staff were too busy to document during this time. ​Medical expert Shawna Burkholder testified of a severe cardiac issue while Ezekiel was in the Lethbridge Regional Hospital.  She indicated this was a result of a Doctor from Cardston reducing Ezekiel's medication.   The records surrounding this time are undiscoverable!  We need your help!

Paternal Grand Father of Ezekiel Stephan is offering a $20,000 Reward to the people who provide new information about what happened to Ezekiel Stephan at the Lethbridge Hospital. $20,000.00 Reward Missing medical records have left large gaps in Ezekiel Stephan's care.  Missing blood culture reports, un-finalized PCRs, missing charts and logs are all issues currently being dealt with during the Stephan trial.  Most concerning are is the fact that there is a large gap in records while a severe cardiac arrest was taking place, and evidence of a lethal overdose has been found. You or someone you know knows something about this case. Please contact us gordonrockinvestigations@protonmail.com ​  ​This Family needs your help.

Missing Medical Records from the Chinook Regional Hospital

Transfer records show that Ezekiel Arrived at the Lethbridge Hospital at 00:25 on the 14th of March 1012

​Court heard this week that Logs, charts and recorded phone calls from the Cardston Alberta Hospital all showed promise of a full or near full recovery for Ezekiel Stephan.  Ezekiel Stephan was transferred from the Cardston Alberta Hospital to the Lethbridge Alberta hospital.  During transport, records show that he improved continually.

Here is where it gets sketchy.  Medical logs, charts and records are almost entirely missing from 00:25 to 01:40. During this time notes from other doctors at the Alberta Children's Hospital record numerous procedures and a now uncharted Cardiac Arrest.   No charts, logs or records have ever been provided for over 55 minutes of this time frame.  We do not know the identities of who witnessed the events at the Lethbridge Hospital and Alberta Health Services is claiming they have turned over all of the files that are now in their possession.

Transfer records show that Ezekiel left the Lethbridge Alberta Hospital at 01:40 on the 14th of March 2012

Cardiac Arrest Took Place In Hospital  : no charts, logs or records available

Alberta Children's Hospital PICU record showing that medical staff were aware of a Cardiac Arrest that took place during the time that missing records would have charted.

ED chart showing that Ezekiel was admitted to the Lethbridge Hospital at 00:29 on March 14 2012.

Records provided from this time frame have the attending physician stating "I was not involved..." Leaving the Stephan family wondering what he wasn't involved with.  The ER Doctor who lives next to Ezekiel's grandfather now claims to have no memory of the events that took place that night. No one has been willing to talk and the Medical Doctors who were involved have all now lawyered up with the legal firm Bennett- Jones.   ​

Ezekiel Stephan did not have Meningitis. Newly acquired medical records show that Ezekiel did not have Meningitis.  This new information paints a grim picture of events that took place in the Lethbridge Regional Hospital. Dr. Shauna Burkholder's notes showing that after rewarming Ezekiel he began to breath on his own. Then an uncharted dose of Rocuronium was given before he entered a severe cardiac arrest that was uncharted.

Dr. Aoife O'Carroll was noted in a conversation indicating 0 objective evidence of an infection and that the CT scan ruled out meningitis.

What you need to know

Friday May 31, 2019 saw three hearings in the Lethbridge Court of Queen's Bench involving the parents of Ezekiel Stephan. My head is still reeling from what I witnessed.  I can only describe it as confusion, misrepresentations, strategic maneuvering and a complete lack of professionalism on all accounts.   Here's the breakdown of what took place:

If all else fails, employ "Judicial Misconduct"

"Rooked" with no hope of success

The Stay Application

The stay application was interesting.  It started with David Stephan presenting a note from the Office of the Medical Examiner as an exhibit.  In this note the writer noted that Valerie Wallace from the Crown's office called to ask if the Medical Examiner was aware of some evidence being sought by the Defence counsel.  She then proceeded to tell the writer that she did not want the evidence sent to her or for the ME's office to acquire it.  She just wanted to know where to find it.

The Office of the Chief Medical Examiner in Calgary Alberta Canada

No records kept or logged during a severe cardiac arrest?: Application for stay

Logs on arrival to CRH

Logs showing arrival to the Lethbridge Regional Hospital. Ezekiel had improved throughout transport.

Gap in records

Logs showing transport from Lethbridge Regional Hospital to Alberta Children's Hospital.

Cardiac Arrest During Gap in Records

Notes of a Cardiac Arrest during Ezekiel Stephan's stay at the Lethbridge Regional Hospital. Medical charts and other records surrounding this time have not been turned over to the Stephans after 6 years of asking.

"... you can’t sue a judge because they’re immune from suit for things that they do in the course of their duties."         ~Associate Chief Justice J.D. Rooke Jan 18th 2019 ​Calgary Court Center May 28th 2019 Justice J.D. Rooke refused to allow a recusal application against himself to even be filed in the Alberta Court of Queen's Bench.  This, just one week before the beginning of the Stephan trial, where he will remain as the CMJ and be able to continue to suppress evidence of state wrongdoing.

Judge J.D Rooke of the Court of Queen's Bench

Source Vocabulary.com

Rejected Court Documents show clear examples of Breach of Trust where ACJ Rooke was abusive, ruled in opposition to Supreme Court Case law and is clearly identified to have bias against human rights activists who have been flagged by the government.

Rooke's crusade against self litigants spills into the Stephan trial.

With less than 1 week until the Stephan trial. New information is being released by family members of the Stephans.  ACJ J.D. Rooke is shown in communications to have denied Subpoenas for ten key material witnesses.  Justice Rooke ruled on the 25th of February to dismiss all of the Stephans existing subpoenas.  In a landmark ruling he determined that because the Stephans are self-represented, they are required to file an affidavit with the Court to provide justification / evidence to why every witness should be allowed.

Associate Chief Justice for the Province of Alberta John Rooke speaking at law day in Edmonton

Dr. Jamie Blackwood of the Alberta Children's Hospital

Organ Donation Approved for Ezekiel Stephan

Septic infection be Damned!  Lets approve organ donation and put these infected organs into other kids!  Most of us probably cringed when we read the line above.  Let's think it through.  Could you trust a hospital that would so recklessly put your child's life at risk by sewing into them an organ that was infected with meningitis causing bacteria?  Would Doctors be foolish enough to transplant an organ into another child if there was even a chance of the organ passing along an infection of this severity? ​Doctors approved the donation of Ezekiel Stephan's organs on March 16, 2012 @ 11:00 AM

Dr. Jon Gamble's Death Summary for Ezekiel Stephan which contains a number of glaring false claims including misquoting the results of lab tests performed after Ezekiel had died at the hands of Alberta Children's Hospital staff.

March 16, 2012 HOPE doctor Jones authorized tissue and organ donation of Ezekiel Stephan.