Tara and Jason Uutela learned at Phoenix Children's that doctors already were suspecting child abuse as the cause of their baby's dire condition.
Before the day ended, they also learned that Dillon's prognosis for survival was nil.
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Dr. Kevin Horn of the Maricopa County Office of the Medical Examiner determined that little Dillon Uutela suffered an epidural hemorrhage after being subjected to "blunt-force" trauma.
Michael Ratcliff
Superior Court Judge Michael Kemp took over the Lisa Randall murder case.
Dillon Uutela died on the evening of April 20 after he was taken off life support.
His body was taken to the Office of the Maricopa County Medical Examiner for an autopsy, after which the Uutelas held a funeral service in their native Washington.
In Peoria, police were sure they were investigating a murder — and that 47-year-old Lisa Randall, a woman with no criminal history and a spotless record as a loving caretaker of hundreds of children, was the killer.
Their suspicions got a boost months later when pathologist Kevin Horn of the local Medical Examiner's Office listed the baby's cause of death as "blunt-force trauma of head and neck."
The manner of death, according to Dr. Horn, was "homicide."
Skip ahead a few years from Dillon's death in April 2007 to a Superior Court hearing in the case of State of Arizona vs. Lisa Randall.
Randall was arrested on first-degree murder and child-abuse charges in November 2007, shortly after Dr. Horn issued his chilling postmortem report. Her tortured legal saga would take her in and out of custody (seven months in all) and, until recently, she had been staring at a death sentence if convicted.
The courtroom for the June 2008 hearing is packed with people there to support her. Randall's backers consist of far more than her five grown children (she is divorced from their father and separated from her second husband) and other family members.
She is charged with murdering a helpless 16-pound baby who was in her sole care and custody for about an hour.
Yet she has supporters who include the parents of many of the children whom Randall babysat on the day Dillon stopped breathing at her home.
The diminutive Randall sits on a front-row bench holding hands with her youngest child, 18-year-old Brenna. She pulls together a brief, tired smile for those around her and then looks straight ahead, wearing a quietly forlorn expression.
Jason and Tara Uutela sit on the other side of the courtroom, next to a victim's advocate provided by the Maricopa County Attorney's Office. The couple has been convinced that Lisa Randall's guilty since the doctors at Phoenix Children's in April 2007 first invoked the words "child abuse."
Randall has been out of jail on $160,000 bond since June 2008, released on house arrest after Superior Court Judge Gary Donahoe ruled that the murder case against her, though it reached the low probable-cause threshold allowing it to proceed, seemed less than solid to him.
"I know the state doesn't have to prove any motive," Judge Donahoe said from the bench, "but . . . I don't see any motive in this case. Ms. Randall has been in this business for, what, 26 years, or something. There's no indication that she was mad or upset, no indication that she just had a fight with her husband or any of those children. I mean, what's leading up to this shaken baby, dropping the kid on the floor, or slamming the kid on the floor?"
Donahoe, considered a prosecution-leaning judge by most, concluded at the June 2008 hearing, "I can see this as a not-guilty verdict at trial."
Since her release that month from jail, Lisa Randall has been forced to wear an ankle bracelet at all times. She works at a supermarket during the day and takes care of a man who has Lou Gehrig's disease.
Then she goes home, which is a room she shares with her daughter Brenna at a residence whose location they prefer to keep private.
Lisa is not allowed under the terms of her release to be alone with her seven grandchildren.
Many child-abuse cases include valid confessions, overwhelming physical and circumstantial evidence of wrongdoing, and other factors that make it apparent that defendants are guilty.
But a New Times analysis suggests that the murder case against Lisa Randall isn't in that mold.
Instead, the reasons that Dillon Uutela died remain shrouded in medical controversy, with experts disagreeing vehemently on critical aspects of the evidence.
Several questions hover over the case.
One is whether the infant was the victim of child abuse at all.
To some medical experts involved in the case, Dillon may suffered from an underlying disease (possibly leukemia) that triggered the internal events that led to his death.
Another expert opined earlier this year that, as one doctor later suspected, "a SIDS-like event [led] to respiratory, and then cardiac arrest."
"I don't believe that anyone hurt Dillon on purpose or accidentally," Lisa Randall's attorney, David Cantor, said last week. "As much or more than any client I have ever represented, I truly believe that my client is as innocent — actually innocent — of this crime."
But the County Attorney's Office had contended since late 2007 that Randall was a monster of the highest order.
Others disagreed that the methodology used to charge people like Lisa Randall was valid.
DePaul University law professor Deborah Tuerkheimer concluded in a 2009 journal article titled "The Next Innocence Project: Shaken Baby Syndrome and the Criminal Courts" that recent scientific research has cast doubt on that "triad" noted earlier: the bleeding and swelling in the brain and retinal hemorrhaging.