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June 16, 2012 10:55 PM

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Did Ohio anesthesiologist gas his wife to death?

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Web Extras

Mark and Kathy Wangler

As Dr. Mark Wangler's freedom hangs in the balance, he and his wife, Esther, find strength in their faith.

"If the Lord calls me to serve him in prison, you know, as an inmate, that's what it's gonna have to be," says Mark.

"You know, we just have to be prepared for whatever happens and to accept whatever happens," adds Esther.

"This is the day of days for you, do you have some optimism?" Peter Van Sant asks Mark on the steps of the courthouse

"Yeah, the way the evidence is, it's just absolutely overwhelming so yeah, I've got a great deal of optimism," he says.

Final arguments begin with Prosecutor Jana Emerick zeroing in on Mark's suspicious behavior the morning Kathy died.

"The problem with lying is that it's the little details that catch up to you - that trip you up," she tells the court. "The defendant started to head into his own house because he wanted to take a shower. Now, if you really thought that a faulty hot water heater had just killed someone in that potentially unsafe home, the last thing you're going to do is go in there and take a shower."

Emerick dissects Mark's 911 call, saying it, too, points to his guilt:

"...consider the defendant's tone of voice and demeanor," she continues. "Does it sound a little staged, a little phony to you? Red flag."

911 Operator: Is she breathing?

Mark Wangler: No, I think she's not breathing!

Video: Mark Wangler's 911 call

But defense attorney Chris McDowell has a different take on that 911 call.

"When you listen to the tape, you can hear the panic in his voice," he says.

And he insists the prosecution never offered a clear explanation of how Dr. Wangler might have murdered his wife with carbon monoxide.

"It's their theory that it came from an internal combustion engine. If that's the case, there would be the strong smell associated with that gas. The gas and the vehicle exhaust fumes are intertwined. If you have one, you have the other," McDowell tells jurors. "The lack of the exhaust smell is strong evidence of accident."

"He thought he had a perfect crime," says Sara.

As the case goes to the jury, Kathy's mother and siblings wait and pray for a verdict of guilty.

"We're gonna put it in the hands of God... there will be justice with Kathy's death," Sara tells Van Sant.

"What is this wait like for you?"

"Terrible. No words can describe it."

But Kathy's son, Aaron, is praying for an acquittal.

"What if the verdict goes against your father?" Van Sant asks.

"I'll be devastated," Aaron replies. "I've already lost one parent. And to lose another would be - it'd be a lot."

On the second day of deliberations, "48 Hours" is with Mark Wangler at his home when he receives the call that the jury has reached a verdict.

"What are you thinking?" Van Sant asks Mark.

"[I'm] just praying that, you know, for an acquittal. That's all I can say, Peter."

In the courtroom, Kathy's mother and siblings gather on one side; her two sons on the other.

The verdict: Guilty of aggravated murder.

There are tears of relief and tears of sorrow. Mark Wangler appears stunned.

Then, Judge Richard Warren has some scathing words as he sentences him to life in prison.

"You violated the Ten Commandments: Thou shalt not kill," Judge Warren says. "You also violated the Hippocratic Oath. As a doctor, which is the first thing: You shall do no harm."

This courtroom drama isn't over. Kathy's mother is about to have the last word.

"We know you have always been a very selfish person who really did not care about our beautiful daughter, only yourself," Sara Schlarman says.

It's a moment she's been waiting for for almost five years.

"Mark, you senselessly robbed Kathy of her many most precious moments; her two sons, Nathan and Aaron. She worshipped them, did everything in the world for them."

Then, the man once revered for saving lives is led away to prison... for taking one.

"Justice has been served," Sara whispers in court.

Video: Juror talks about the 911 call

Esther Wangler vows to keep fighting to free her husband.

"He is innocent of these charges. He will be out on appeal," she tells reporters following the verdict. "We will stop at nothing to get him out on appeal. This is a cruel, cruel, biased investigation."

But it's clear this fight has taken its toll, as Esther retreats to her home, comforted by her son.

"It's just gonna be shock for a long time, just figuring out what to do day by day," she says.

For now, the case is closed. But for Detective Clyde Breitigan, there is no celebrating - only thoughts of a family destroyed.

"I feel sorry for everybody involved in this," he says. "Kathy's gone. Her family lost Kathy. The two boys, Aaron and Nathan, lost their mother. Nobody won in this case. Nobody won. It's just sad."

"She loved life ... was always happy, loved family," Joanne says. "I miss that laugh."

Mark Wangler will be eligible for parole in 25 years; He will be 80 years old. Wangler is appealing his conviction.

Kathy's $600,000 life insurance policy was split between her two sons.

99 Comments +

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by xxchicagobadboyxx January 27, 2013 11:25 AM EST: Reply
PatricParamedic Says:

January 22, 2013 at 5:38 pm
Michael - Those of us who deal with thousands of death scenes have no functional need for Google, or any other generalist reference tool. That would be like suggesting an architect use a Cub Scout manual to build a tree-house.

We use death scenes & homicides & what we already know about human behavioral tendencies, to guide us toward logical conclusions. When you manage thousands of cases, you reach the point where you can see "patterns" with phenomenal accuracy.

The investigators in this case performed no "rush to judgement" based on any single factor, such as "rigor."

Rather, they spent years - think about that, YEARS - assessing dozens of aspects of this case.

Wangler, MD does not sit in jail today because somebody forgot to check a few basic - and valid - possibilities.

He sits in jail because the totality of his actions point to guilt.

It is simply not logical to believe his version of events. In order to do so, you have to suspend reason and buy into a veritable litany of coincidences.

Now, any goofy coincidence can pop up at anytime in life.

But when you need a string of oddities to happen at just the right time, in order to prove your innocence, you're stacking a house of bricks on some very soft sand.

Wangler MD convicted himself. He did it by his behavior before & after the death of his wife; he did it by things that he said & didn't say.

And his personal journal could have convicted him all by itself.

Thank you for your interest in this case

Reply
Michael Says:

January 23, 2013 at 5:51 am
With power, one can become condescending, and perhaps blind to the truth. No one will judge you, until after death, and then you will have to deal with that day of reckoning.

I'm assuming that you were informed by medical personel that something was wrong, ie rigor mortis and hypothermia, and then made a conclusion that there was no way that Dr. Wrangler's version of events were true. I mean how could she have just died, if rigor mortis and hypothermia an lividity had set in? He had to be lying, right?

You then had to come up with a logical sequence of events of what truly happened, and then set up to prove those events.

What if the medical personel never informed you that something was amiss, what then? What if what the medical personel told you that what they told you was not true, what then? Now your house of bricks just got built on soft sand, did it not?

In this case, you concluded that he took a hose, hooked it up to the duct work in the home, and set a fan in his bedroom to push air out, and did all this knowing he had a full day of work the next day. He waited until after death, about 2 hours, then called 911, performed cpr on someone with rigor mortis, and then had her having a seizure before death.

By your logic, Dr. Wrangler being a physician-anesthesiologist, would have known about "immediate rigor mortis post seizure, and also vasodilatory hypothermia caused by CO poisoning, so he must have lied and orchestrated a setting that would explain these events, not counting on all the medical personel missing this physiological process, and arriving at the conclusion that he just waited 2 hours before starting cpr on a dead body.

I'm left wondering if he was in the house, pumping all this gas into the home, why he didn't do the most logical thing as an ahesthesiologist just give himself oxygen, instead of exposing himself to all that carbon monoxide.

This case is fraught with ilogical events, more than enough to lend reasonable doubt. You have a doctor who is an expert, performing cpr on a dead body '2 hours after death', and an anesthesiologist, an expert on causing death, hooking up a garden hose, to the duct work in a home, pumping in carbon monoxide at great risk to himself, and then this journal where he's venting and arrive at a conclusion of murder.

You then have a jury that had a EMT conclude he's guilty because he did cpr on an air mattress, and his cpr count was off, ie he was using the old count, and another juror that supposedly was a HVAC expert, who turns out to be a former drug addict.

Yep, sounds like a string of oddities and goofy concidences, except I 'm left wondering if what really happened is that Kathy really did have a seizure, and CO poisoning did occur, and this whole investigation was because someone made a wrong conclusion that Kathy was dead for 2 hours. when actually it might have been 15 minutes.; Reply to this comment

by xxchicagobadboyxx January 27, 2013 11:19 AM EST

PatricParamedic Says:

January 8, 2013 at 7:46 am
Michael said:

"Actually, not many coroners, or even er docs are that up to date on CO poisoning deaths, just how to treat, and even less know about calcium release and reuptake failure in seizure deaths. A good pathologist like Dr. G might know.

Most coroners are just family docs that got elected to the office, and not pathologists."

I agree 100%. But Diane Scala-Barnett is neither an amateur nor an elected coroner. She is instead a forensic pathologist who appears more than capable to assemble facts and come to logical conclusions. Kathy Wangler's lividity for one, She is recognized as a professional in her field and has contributed to some pretty impressive textbooks.

I think anyone who studies this case ought to be able to see that there was no rush to judgment whatsoever. In fact, the investigation took considerably longer than most cases, because building a Murder case against a reputable MD with no known history of crime, takes time. They interviewed plenty of outside experts and built a logical case.

As an MD with plenty of time to think, I'd suspect your argument might have been considered by Wangler himself on appeal.

I personally suspect all the evidence a logical trier of fact might need, can be seen clearly in Wangler's private diary.

I believe his diary says it all.

Reply
Michael Says:

January 10, 2013 at 8:54 am
Not to take anything away from Dr. Diana Scala-Barnett, but she really didn't establish or address the failure of calcium reuptake in seizures, and how it can simulate rigor mortis, or vasodilatory shock causing hypothermia in carbon monoxide poisoning, nor did anyone ask her if vasodilation could cloud the story.

While I'm sure she's more than capable, she is not a Dr. G. I believe Dr. Diana Scala-Barnett got her MD at Universidad Autonoma De Guadalajara, outside the US, and trained in pathology at UTMC, neither program is that strong, while Dr. G trained at the St Louis University School of Medicine, one of the best in the country.

As I said, it's not that well known, and it would seem that a lot of people including the medical people involved have just assumed that Kathy was dead a long time, based on the hypothermia and rigor mortis, and it seems Dr. Barnett just went along. I would venture to guess that the ED team also made that conclusion, based on a very short resusitation attempt.

In any case, we've all had time to think thru this case, and they'll come a day of judgment, after death, when you will find out if you caused tremendous misery on an innocent human being. I would think the One that judges you that day will forgive you for an honest mistake,

Reply to this comment


by xxchicagobadboyxx January 27, 2013 11:23 AM EST: Reply
Michael Says:

January 22, 2013 at 12:05 pm
I guess I should leave a caveat. If the er doctor, the emt, the medical people, the coroner, the judge, and the lima people had done a simple google search on rigor mortis, they would have realized an honest mistake and just might have come to a different conclusion, and perhaps maybe Dr. Wrangler may have actually been telling the truth.

http://health.howstuffworks.com/diseases-conditions/death-dying/rigor-mortis-cause2.htm

Here this website from a simple google search, states....

"Physical exertion just prior to death: If someone dies while engaged in strenuous activity like exercising or struggling against drowning, rigor mortis can set in immediately. This instant onset, sometimes called cadaveric spasm, happens because the person's muscles, at the moment of death, were depleted of oxygen energy and ATP. This is why the victim of a violent attack may still be clutching the attacker's hair or a piece of clothing."

by xxchicagobadboyxx January 27, 2013 11:00 AM EST

MEDICAL MISCREANTS

http://medicalmiscreants.com/2012/12/06/ohio-doctor-loses-appeal-in-wifes-poison-gas-murder-case/

In Lima, Ohio a physician in prison for killing his wife in 2006, has been turned down for a new trial.

Dr Mark Wangler

The Ohio Third District Court of Appeals dismissed the argument by Doctor Mark Wangler's attorneys, challenging his murder conviction. Judge Richard Warren denied the motion for a new trial, the basis of which was juror misconduct.

Wangler's defense team argued that one of the 12 jurors had intentionally lied on the jury questionnaire about his own criminal history. In his ruling, the judge stated the juror's background did not change the facts of the case.

Wangler, age 57, was sentenced to 25 years to life in prison, four and one-half years after the death of his wife Kathy. By that time, he had already remarried.

The former anesthesiologist was convicted in part, according to several jurors, because they could not believe his story of finding her having a "seizure." The Paramedics who initially arrived on scene recognized that she had been dead for quite some time before they arrived, and that Doctor Wangler was certainly lying when he reported to the 911 operator that she was having a seizure when he found her. Both the emergency room doctor who examined her, and the coroner who performed the autopsy, also testified that the woman probably had been dead for an hour or longer, before the doctor called 911.

Kathy Wangler (center) in happier times

The coroner's report states that Kathy Wrangler died of carbon monoxide poisoning as she lay in her upstairs bedroom. The prosecution was able to convince the jury that Wangler had rigged a hose from a running car exhaust into the house on the night of his wife's death.

10 Responses to "Ohio Doctor Loses Appeal in Wife's Poison Gas Murder Case"
Jon Miller Says:

December 6, 2012 at 12:30 pm
pretty good insights. I'll be sure to stop by and read more from you. thanks.

Reply
Michael Says:

January 5, 2013 at 9:16 am
What wasn't considered is when someone has a seizure and then undergoes a cardiac arrest, they are stiff because they are unable to re-uptake the calcium released, which requires energy or ATP, which would be unavailable, as there would be no blood flow, or ability to make ATP, since CO has displaced oxygen from the red cells. This would simulate rigor mortis, which normally occurs from calcium release that occurs upon death. This

Reply
Michael Says:

January 5, 2013 at 9:29 am
This inability to re-uptake calcium released from a seizure is what led to the false conclusion that Kathy had been dead for at least an hour, as claimed by the
ED doctor and EMS. An anesthesiologist is highly trained on rendering someone dead, and it's unlikely that he or she would utilize a hose, to introduce gas fumes into a home, making it impossible to be in the home, and then after death, with rigor mortis now set in, think of performing cpr, and make up a story about carbon monoxide poisoning.

Reply
patricparamedic Says:

January 6, 2013 at 8:31 am
Michael -

Appreciate your observations as well as your responses.

My thoughts to what you have to say are these:

1. An inexperienced medic could certainly mistake the body stiffness that was apparently witnessed on scene. But I'd say it's a serious stretch in plausibility to believe both an ER doc and a pathologist would make the same mistake.

2. I've assessed countless hundreds of death scenes, and I can promise you that rigor mortis evolves in fairly consistent patterns, beginning with nuchal rigidity and TM joint, and working its way south over time. The body stiffening subsequent to a grand mal seizure - as was described by Wangler, MD -you are follows no such pattern.

3. Stiffening post GM seizure would have no bearing whatsoever on body temperature, and the deceased woman was cold upon arriveal at the ER.

4. Your belief that a highly-trained specialist wouldn't resort to crude and even amatuerish tools to kill, is naive. I study physician misbehavior for a living, and doctors are as capable as anyone of being downright ignorant when it comes to murder, unless they are serial killers.

In the end, I find those who believe in Wangler's innocence are under much the same delusions as the O.J. Simpson supporters.

In order to believe they are innocent, you have to subscribe to a jaw-dropping amount of coincidence.

And when it comes to homicide, true coincidences are very, very, rare.

Reply to this comment


by xxchicagobadboyxx January 27, 2013 11:02 AM EST: Michael Says:

January 7, 2013 at 3:24 pm
Rigor mortis, or the release of calcium after death will effect the smaller muscles first, such as those of the face and jaw, and gradually set in to the larger muscles, seeming to move south as you state. The fact that calcium was released in the distribution of convulsions, and not taken back up, doesn't change that smaller muscles are still stiff first. But could speed up onset of stiffness in some limb muscles, causing one to think that death occurred sooner.

CO poisoning causes a vasodilatory shock and periphreal vasodilation allows rapid loss of heat, causing hypothermia. Someone with alcohol poisoning would also get hypothermia.
Vasodilation is what causes the headaches, and some comment on a cherry red color, but this is not really seen at death.

Actually, not many coroners, or even er docs are that up to date on CO poisoning deaths, just how to treat, and even less know about calcium release and reuptake failure in seizure deaths. A good pathologist like Dr. G might know.

Most coroners are just family docs that got elected to the office, and not pathologists. Most ER docs are not that familiar with masseter spasm with calcium overload, and their ego is such that if the patient didn't make it, it was probably because the patient was dead a while, and they base that on how tough it was to intubate, ie stiffness, and how cold the patient was.

As far as OJ Simpson, it just shows me that a jury can get it wrong and that our system is not perfect, OJ's behavior, like Dr. Essa's behavior was highly suspect and unusual. Dr. Wrangler was out of the country multiple times and had no issues returning. He hired an attorney, and really wasn't too worried about much of a defense, as he figured, he wasn't guilty. Very very niave on his part.

His use of the same attorney instead of going all out with a dream team for the appeal was also very very niave.

Reply
PatricParamedic Says:

January 8, 2013 at 7:46 am
Michael said:

"Actually, not many coroners, or even er docs are that up to date on CO poisoning deaths, just how to treat, and even less know about calcium release and reuptake failure in seizure deaths. A good pathologist like Dr. G might know.

Most coroners are just family docs that got elected to the office, and not pathologists."

I agree 100%. But Diane Scala-Barnett is neither an amateur nor an elected coroner. She is instead a forensic pathologist who appears more than capable to assemble facts and come to logical conclusions. Kathy Wangler's lividity for one, She is recognized as a professional in her field and has contributed to some pretty impressive textbooks.

I think anyone who studies this case ought to be able to see that there was no rush to judgment whatsoever. In fact, the investigation took considerably longer than most cases, because building a Murder case against a reputable MD with no known history of crime, takes time. They interviewed plenty of outside experts and built a logical case.

As an MD with plenty of time to think, I'd suspect your argument might have been considered by Wangler himself on appeal.

I personally suspect all the evidence a logical trier of fact might need, can be seen clearly in Wangler's private diary.

I believe his diary says it all.


by xxchicagobadboyxx January 15, 2013 1:20 AM EST: I just want to comment on how stupid this sounds. After hooking up a garden hose to the duct system of the house, and filling the entire house with smoke from a car, which would make it almost intolerable to deal with the fumes, going into his bedroom and setting up a fan, so that he wouldn't get too asphyxiated, then waiting several hours until rigor mortis sets in, he then calls 911, and decides to tell them that she is having a seizure, when he knows she has rigor mortis, and then performs cpr on a stiff body. A lay person might be stupid enough to do all this, but it's bit of a stretch to put a doctor into saying someone stiff enough to have rigor mortis is having a seizure. What most doctors would do is call 911, and say, my wife's dead, and the carbon monoxide detector has gone off.; Reply to this comment


by Littlebit5274 August 25, 2012 5:43 PM EDT: I'm not an expert with carbon monoxide or water heaters like so many at the trial claim to be. I like to follow cases and one thing i know is there was not enough evidence to convict him. There was more evidence to convict in the casey Anthony but you see what happened! Bottom line is that you (the one on trial) is left in the hands of a group of people (jury) that are human and allow personal judgement to cloud them even though they are not suppose to! So all you can do is pray the jury the jury you have likes you!! the second thing is don't ever write down your personal feelings in a diary!! I wouldn't have convicted him!; Reply to this comment

by atrainoff June 21, 2012 12:42 AM EDT

DID ANYBODY REMEMBER THAT HIS JOURNAL INCLUDED AN ENTRY WHERE HE WAS CONVINCED THAT SATAN WAS WORKING THROUGH HIM WITH BY MEANS OF "CAR EXHAUST!" AH, YEAH, I THINK THIS PRETTY MUCH SUMS IT UP.

Reply to this comment


by xxchicagobadboyxx July 12, 2012 6:42 AM EDT: Until the invention of catalytic converters, suicide has been committed by inhaling the exhaust fumes of a running car engine, particularly in an enclosed space such as a garage.[130][131] Before 1975, motor car exhaust contained 4-10% carbon monoxide, but newer cars have catalytic converters that eliminate over 99% of the carbon monoxide produced.[132] However even cars with catalytic converters can produce substantial amounts of carbon monoxide if an idling car is left in an enclosed space such as a closed garage.[133]

As carbon monoxide poisoning via car exhaust has become less of a suicide option, there has been an increase in new methods of carbon monoxide poisoning such as burning charcoal,[134] or fossil fuels, or by combining formic acid and sulfuric acid, within a confined space.[135][136][137] Such incidents have occurred mostly in connection with group suicide pacts in Asian countries such as Japan, Taiwan, and Hong Kong,[138][139][140][141] but are starting to occur in western countries as well,[142][143][144] such as the 2007 suicide of Boston lead singer Brad Delp.[145]


by foo8259 June 19, 2012 11:37 PM EDT: Kind of like the 48 Hours SCUBA wife accident/murder -- no one except hubby knows for sure? Again, not enough evidence to convict "beyond a reasonable doubt" IMO; Reply to this comment

by 48commercials June 18, 2012 12:03 AM EDT

Something I haven't seen addressed here or on the show was the CM alarm. Pray tell what is the point of an alarm if you die anyway? and it was mentioned that but for having his window open, he might have died also. So then I really have to ask, WHAT IS THE POINT OF THE ALARM?????

Reply to this comment


by xxchicagobadboyxx July 12, 2012 6:55 AM EDT: Why someone would put into play a carefully designed plan to kill his wife, by hooking up a hose from the car to his duct system, but then forget to turn off or disable the carbon monoxide alarm, which could potentially awaken anyone in the house, who could then find the evidence, ie a hose hook-up from the car in the garage to the duct system, somehow defies detective logic to me. Also, the average anesthesiologist while astute regarding various iv drugs and anesthetic gases that can render you helpless and apneic, does not really know how much carbon monoxide it takes, or is even close to an expert regarding this gas. Rather a toxicologist might be a better candidate. But then if a spouse died of an overdose, I suppose the toxicologist husband would be guilty.

by peacefulperson June 17, 2012 11:59 AM EDT

My heart really goes out to the doctor and his boys. Anyone who hasn't lived with a person with BPD can never understand what it's like to live in frustrated turmoil, wondering what you did to make that person that way, wondering if there is a way to make things normal again, not realizing that that person was NEVER normal and never can be.

They are notorious liars. My sister is BPD and I can't be sure she EVER told me the truth. She makes up stories about being raped at the mall, in love with people she doesn't even really know, etc. She's racked up hundreds of thousands of dollars in credit card debt (some of it in my name) and in one year had $10,000 in overdraft fees. I personally paid off one of her credit cards because she told me her husband was going to leave her if he found out, and she not only never paid me back, she never even thanked me, and turned around and did it again. She manipulated us by telling us her husband wouldn't give her money for school clothes for the kids. My dad gave her tens of thousands over a few years, and I also gave her thousands for clothes, only to find out that her husband had indeed given her money for clothes and that she had squandered all the money we had given her on cheap jewelry and the expenses of having affairs with other men.

My heart goes out to her husband and children.

Reply to this comment


by atrainoff June 21, 2012 12:33 AM EDT: Why is this man in jail? Really? His journal entry stated that Satan was working through him by way of "car exhaust!" If that wasn't a telltale sign of what was to come, not to mention one hell of a coincidence!!


by xxchicagobadboyxx July 12, 2012 7:03 AM EDT: I believe that his journal entry if accurate, is about his thought of doing himself in, by car exhaust. Obviously, he is not knowledgable about catalytic converters removing about 99% of the carbon monoxide, and the gasoline fumes that make it almost impossible to deal with the intolerable breathing conditions. I suppose if you take enough drugs, and close the garage door, with a car window cracked you could still be successful, but I haven't tried it to prove success.


by peacefulperson June 17, 2012 9:14 AM EDT: Kathy sounds like a textbook example of borderline personality disorder. People with BPD can be very difficult to live with, and they often lose their families because of their selfishness and acting out. They often make weak suicide attempts for attention and all too often, they accidentally succeed, although their purpose was to create dramatic attention rather than actually kill themselves. I feel bad for Mark, Aaron and the rest of her family. They must have live painful lives and now have to deal with this painful death.; Reply to this comment