CHAPTER TWO
Temporal Impossibility · Office of the Chief Coroner
An autopsy with no toxicology. A conclusion without evidence.
Why this autopsy cannot exist as a real autopsy
A forensic autopsy on a 42-year-old man dying with strychnine-pattern symptoms must produce three things before any conclusion is legally defensible:
1. A full toxicology panel, including the strychnine screen the symptoms demand.
2. A documented scene examination — photographs, notes, observations.
3. A conclusion that follows from 1 and 2, supported by the underlying physical evidence.
File 16SA198 has none of these — and yet a conclusion was issued.
Two clocks running at impossible speeds
One clock should move fast — the forensic investigation.
One clock should move slow — the estate administration.
They ran the opposite direction.
Should have moved in hours and days.
Death: July 16, 2016
Toxicology panel: Never run. Ever.
First substantive contact with coroner's office: May 10, 2019 — 2 years, 10 months later
File 16SA198 produced to family: Never. Ten years and counting.
Should have moved in weeks and months.
Affidavit filed by Ivana Hrvatin: December 14, 2017
Certificate of Appointment granted: December 20, 2017
Elapsed time: SIX DAYS.
Normal time for routine Certificate of Appointment: SIX WEEKS.
Compression ratio: 7× faster than normal.
The clock that should have run fast
ran for ten years and produced nothing.
The clock that should have run slow
finished in six days.
Justice Paul R. Howard · Windsor Superior Court
EXHIBIT RC-002 — Certificate of Appointment 2017-12-20 — STATUS: PRODUCTION REQUIRED (GAP)
Justice Paul R. Howard presided over the Certificate of Appointment granted in six days.
Justice Howard is a founder of Shibley Righton LLP.
Shibley Righton LLP is the same firm with which Bart Seguin — the lawyer who handled the disputed 2011 Separation Agreement — is associated.
The judge did not disclose the conflict.
R. v. S.(R.D.), [1997] 3 S.C.R. 484:
"The test for reasonable apprehension of bias is whether a reasonable person, properly informed, would conclude that the judge's mind was not impartial."
A judge granting a six-day Certificate of Appointment in a case involving his own founding firm — without disclosure — engages the standard squarely.
March 13, 2018 · Order blocking Rule 31 examinations
Less than three months after rushing the Certificate of Appointment through in six days, Justice Howard issued an order blocking Rule 31 examinations in the estate matter.
Rule 31 is the discovery rule that would have allowed Lucy Ceylan to question Ivana Hrvatin under oath about:
One order. Every question Lucy could have asked under oath — gone.
Ten years · zero production · institutional silence
2019 · THE CORONER CAUGHT ON TAPE
The same coroner's office that never ordered toxicology testing for poison — recorded twice, on two different days, by Lucy Ceylan.
RECORDING ONE · MAY 10, 2019 · ~20 MINUTES · 20.1 MB
Lucy asked Dr. Emily Groot directly: “Are you related to Norman Groot?” — Norman Groot being a convicted criminal cop (1999 Supreme Court of Canada case) who had previously attempted to extort Lucy's family for $10,000.
Dr. Emily Groot did not deny the relationship. She evaded the question. A simple “No, I'm not related” would have ended the inquiry. She did not say it.
Listen around MM 12–15 for the key admission/evasion.
A coroner with an undisclosed family connection to a convicted criminal cop who had previously targeted the same family is a coroner who should have recused herself on day one. She did not. She also never ordered a toxicology test for poison — despite the white-foam-around-the-mouth presentation, the convulsions, and Lucy's direct requests for poison testing.
RECORDING TWO · MAY 14, 2019 · ~13 MINUTES · 13.1 MB
Four days after the first recording, Dr. Emily Groot called Lucy back — not in her own capacity as Chief Coroner, but, in her own words, “on behalf of Dr. Cameron.”
A coroner's statutory duty is to be independent — to investigate deaths objectively, free of influence from treating physicians or any other party. A coroner who calls back acting on a doctor's behalf has stopped being a coroner and started being that doctor's agent.
Coordination between the coroner's office and a treating doctor — on tape — closes the loop. The undisclosed family connection. The missing toxicology. The call back “on behalf of” another party. Three independent facts; one institutional pattern.
CRIMINAL CODE OF CANADA · sections enabled by these two recordings
s. 139(2) Obstruction of justice · s. 122 Breach of trust by public officer · s. 463 Accessory after the fact · s. 465 Conspiracy · s. 467.1 Criminal organization.
2016: Death. No toxicology. No scene production.
2017: Estate machinery moves in six days. Discovery blocked in March.
2018-2019: Lucy Ceylan records the coroner's office admitting cover-up. "On behalf of Dr. Cameron."
2020-2025: Demands for file 16SA198. Demands. More demands.
2026: File 16SA198 still not produced. Adverse-inference rule engaged.
A coroner's file that doesn't exist.
A judge who signed in six days for a firm he founded.
A discovery order that erased every question.
And one document waiting in the background
that would change everything.
DOWNLOAD THE CANONICAL EXHIBIT
The full canonical Exhibit 18 PDF documents the temporal impossibility of the autopsy report — the document that should have caught the strychnine signature and instead recorded a different cause of death across three separate reports (2016, 2017, 2019), one of which Dr. Martin Queen refused to sign. Read it. Verify the dates. Pass it on.