Medical Examiner Kathleen Liggio And Her Epstein Investigation Report

Summary

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The Epstein Chronicles

Episode Summary: Medical Examiner Kathleen Liggio And Her Epstein Investigation Report

Host: Bobby Capucci
Date: June 6, 2026

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Episode Overview

This episode of The Epstein Chronicles delves into the detailed investigation report on Jeffrey Epstein's death, filed by Medical Examiner Kathleen Liggio. Host Bobby Capucci breaks down Liggio’s findings surrounding Epstein’s autopsy, the circumstances in the Metropolitan Correctional Center (MCC), and the scene investigation. The episode closely examines ambiguities in the official narrative, procedures followed, and notable elements of the medical, procedural, and physical evidence documented immediately after Epstein’s death.

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Key Discussion Points & Insights

1. Case Background and Key Timeline Events

• Epstein’s Detention and Psychological Evaluation

  • Epstein, a 66-year-old male, was detained in MCC from 7/6/2019 on federal sex trafficking charges.
  • Moved for psychological evaluation (7/8/2019 – 7/10/2019) and placed in Special Housing Unit (SHU) multiple times.
  • Attempted suicide reported on 7/23/2019. His cellmate at the time, Nicholas Tartaglione, reportedly witnessed the attempt and alerted staff.
    • "[Tartaglione] started banging on the cell door to alert the corrections officers." (03:55)

• Events Leading Up to Death

  • At time of death (8/10/2019), Epstein had no cellmate—Reyes, his most recent cellmate, had been released earlier the same morning.
  • "No cellmate was present at the time of the incident leading to the decedent's death." (07:30)

2. Findings from the Medical Investigator (Kathleen Liggio)

Objective Medical Findings

• Initial Medical Response

  • Found in cardiac arrest with ligature marks following unknown downtime.
  • No bloods drawn, and no fentanyl administered during medical intervention.
  • "He was pronounced dead at 7:36 hours, so 7:36 in the morning." (02:57)

• Injuries and Materials Observed

  • Ligature markings observed by EMS and in Emergency Department (ED).
  • No ligature material observed by either EMS or ED staff—material only identified later at the scene.
  • Consistent description of marks: "arrhythmia around 2/3 of the circumference of his neck, 2 inches wide, with sparing of the back of the neck. There were also some friction marks." (05:07)

Scene Investigation Details

• Detailed description of cell contents and environment:

  • Bedding material strewn on floor, mattress off bunk, orange sheets/blankets, CPAP machine on floor.
  • "There was a handwritten note. It was not a suicide note, but its content vented frustration about conditions and experiences at the facility." (08:10)
  • Various over-the-counter medications and supplements were present and unopened.

• Physical cell examinations included:

  • Measurements of bunk bed and ladder.
  • "Strips of orange cloth presumably from bedding located in different spots in the room." (09:30)
  • Makeshift clothesline and orange underpants hung from the makeshift line.

Ligature Evidence & AED Use

• Ligature collected appeared to be a piece of orange bedsheet, entered into evidence.
• AED indicated "no shockable rhythm" on arrival—reinforcing time elapsed since death. (11:37)

3. Procedural Details and Family Involvement

• Epstein’s brother, Mark Epstein, notified and did not object to autopsy. Requested an independent forensic pathologist as observer, which was permitted under specific conditions by Dr. Jason Graham (OCME).
• "Mark Epstein was made aware of this and he understood." (13:30)
• OCME retained the cell sealed pending autopsy results and coordinated preliminary findings discussion with the FBI.

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Notable Quotes & Memorable Moments

• "The decedent was found to have arrhythmia around 2/3 of the circumference of his neck, 2 inches wide, with sparing of the back of the neck. There were also some friction marks."
  Kathleen Liggio, 05:07

• "No cellmate was present at the time of the incident leading to the decedent's death."
  Kathleen Liggio, 07:30

• "There was a handwritten note. It was not a suicide note, but its content vented frustration about conditions and experiences at the facility."
  Kathleen Liggio, 08:10

• "Strips of orange cloth presumably from bedding located in different spots in the room."
  Kathleen Liggio, 09:30

• "The ligature was collected by the undersigned and entered into the evidence locker cage."
  Kathleen Liggio, 11:37

• "Mark Epstein... did not object to an autopsy. However, he's requested to have present private independent physician pathologist as a second opinion for the findings at the OCM autopsy."
  Kathleen Liggio, 12:02

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Timeline of Important Segments

| Timestamp | Segment Description | |-----------|-------------------------------------------------------------------| | 01:30 | Overview of the case and Medical Examiner’s initial remarks | | 03:55 | Attempted suicide by Epstein and cellmate’s response (Tartaglione)| | 05:07 | Detailed description of injuries and first medical findings | | 07:30 | Epstein alone in cell at the time of death | | 08:10 | Description of the cell, notable evidence, and the handwritten note| | 09:30 | Details on bedding, makeshift ligature, and cell arrangements | | 11:37 | Collection of ligature and AED observations | | 12:02 | Family involvement, independent pathologist for autopsy | | 13:30 | Confirmation of family procedures and cell secured for autopsy |

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Episode Tone & Final Notes

Bobby Capucci maintains his signature investigative, no-punches-pulled tone, methodically working through the details of Liggio’s report for transparency and clarity. He emphasizes objectivity while highlighting ambiguities and sticking points in official procedures and evidence continuity, aligning with the podcast’s mission to leave “no stone unturned.”

All official documents and supporting information are referenced as available in the episode description box.

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Transcript

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[Kathleen Liggio]

What's up everyone and welcome to another episode of the Epstein Chronicles. In this episode we're going to continue talking about the death of Jeffrey Epstein. And this time we're taking a look at the investigation report that was filed by the Medical Examiner's office. And and this portion of the report was prepared by someone named Kathleen Ligio. So let's jump in and let's see what she had to say about the death of Jeffrey Epstein. Case Synopsis the decedent is a 66 year old white male prison inmate who was found hung by the neck within his cell and was later pronounced dead at the hospital despite resuscitative efforts. The NOK does not object to an autopsy. PMH information is pending on receipt of the correction facility. Medical Health Services records Subjective findings as per Dr. Dejer of the ED at New York Presbyterian Lower Manhattan Hospital, EMS found the decedent to be in cardiac arrest with the ligature markings of the neck following an unknown downtime at the Metropolitan Correctional Center. The decedent was innovated and was given epinephrine times 4 and biocarbonate times 2 along with CPR was continued at the ED. The decedent was given an additional epinephrine times 1 and bicarbonate times 1. However, the decedent was an acetol by cardiac monitor and the cardiac standstill by ultrasound. He was pronounced dead at 7:36 hours, so 7:36 in the morning. Ligature markings of the neck were observed by Dr. Du Juur in the ED as well as by EMS. However, no ligature material was observed by either EMS or Dr. Du Juur in the ED. No bloods were drawn and no fentanyl was administered in the ed or by EMS. Dr. Dujer was instructed to submit to OCME a complete clinical summary worksheet, the ems, ACR and ED notes. These were received except the acr. An email was sent to Evidence Request with CCS to Evidence Pickups and OCME requesting that the ACR be obtained. The undersign was accompanied by Nicholas Schultz, Deputy Director of Forensic Investigation and Operations for a MLI Scene investigation Special Agent redacted were also present at the scene conducting their investigation as per redacted at MCC the decedent was detained at MCC since 762019 on charges of sex trafficking conspiracy and sex trafficking of minors as inmate number 763-18-054. He was placed in a cell on 772019 but was moved for psychological evaluation on 782019 through 710 2019. His psychologist was redacted. He was then moved to Special housing unit from 7102019 to 723 2019. However, on 7232019 the decedent attempted suicide by hanging. In the early morning hours this date, the decedent, cellmate inmate Nicholas Tartaglioni was awakened by a sound and saw the decedent. He started banging on the cell door to alert. The corrections officers redacted responded at 127 hours and observed the decedent to be either seated or laying in a fetal position on the cell floor with a loose homemade noose around his neck made from torn orange bed sheet. At this time the decedent was found to have arrhythmia around 2/3 of the circumference of his neck 2 inches wide with sparing of the back of the neck. There were also some friction marks. The decedent was transferred to suicide watch from 7232019 to 729 2019. He was transferred to the SHU again on 7292019 where he remained until the DOD. He was in cell number 206. Originally this last time in SHU but was switched to cell 220 at an unknown date and time. The decedent had a cellmate in mate Reyes. However, on the morning of 8892019 inmate Reyes went to court and was released through the court. No cellmate was present at the time of the incident leading to the decedent's death. Information was taken from redacted and redacted regarding this incident. Regular rounds of the inmate cells are conducted by the corrections officers every 30 minutes but no longer than at 40 minute intervals. It's unknown when the decedent was last seen alive, but pending interview of MCC personnel on the morning of 8102019 at 6:33 hours during these regular rounds, officers redacted found the decedent hung by the neck within his cell number 220. However, the location within the cell and the position of the decedent are unknown. Pending interview of MCC personnel, redacted removed the decedent from an unknown fixed object and placed them on the cell floor. The officer started CPR in the meantime redacted entered the cell redacted took over performing CPR and the decedent was taken to the Medical Health Services area. EMS arrived and took over care for the decedent there. Scene Investigation Details the scene was within the Decedent cell number 220 on Tier L of the shoe within the MCC of the scene. Photos inv scene 003 depicts the sealed cell door to 220. Photo 004 depicts a straight ahead view from the now open cell door. Photo 005 represents the left side of the room beyond the right side wall of photo 004. The right side of the room can be Viewed in photo 009. There's bedding material strewn in the middle of the floor and including a mattress presumably from the top bunk and orange blanket and sheets. There was a CPAP machine on the floor with an electric cord reportedly provided by the MCC staff at bedtime 22:00 clock and plugged into an outlet to the right outside of the cell door. Adjacent to the toilet and sink is a small table and stool on the right side of his cell. There was a handwritten note. It was not a suicide note, but its content vented frustration about conditions and experiences at the facility. There was a bunk bed, the mattress was removed and personal items were kept on the top bunk. Amongst these were medications and supplements including vitamin C, 500 milligrams, pulse folate cream, 1% Vaspa Omega 3, two boxes of acetaminophen 500 milligrams which were both sealed closed multivitamins, a sealed container of milk. Magnesia was also sealed and docusate sodium 100 milligrams. The bottom bunk had rumpled up orange bedding. There were strips of orange cloth presumably from bedding located in different spots in the room. Included amongst these was was what appeared to be a makeshift clothesline between the bunk bed post with a pair of orange underpants hung from it. Measurements of the bunk bed are set as the height from the floor to the top bunk was 58 and a half inches. The length of the bed set was 79.5 inches. The width across the bed photo 052 depicts the bottom was 25 inches. Photo 49 shows the heights of the rungs of the ladder to the top bunk. Redacted of the Medical Health Service arrived to the scene and presented the AED with defibrillator pads used on the decedents along with the ligature which appears to be a strip piece of an orange

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[Kathleen Liggio]

redacted, the AED revealed no shockable rhythm on on the decedent. The ligature was collected by the undersigned and entered into the evidence locker cage at redacted in Manhattan as per redacted he was made aware by MCC staff that the decedent cellmate Reyes left. It is believed that some of the items in the cell may have been his which were not removed. Additional information as per redacted confirmed that the decedents and okay his brother Mark Epstein redacted with was notified of the decedent's death. The undersigned called the brother and discussed OCME policy and procedure with regard to an ME case. He does not object to an autopsy. However, he's requested to have present private independent physician pathologist as a second opinion for the findings at the OCM autopsy. Dr. Jason Graham has agreed to allow this as a courtesy to the family with the following conditions. The physician must be a forensic pathologist. He she must arrive at OCME at 520 First Avenue in Manhattan before or by 9am on 811 2019. Mark Epstein was made aware of this and he understood. He was instructed to call OCME with his choice of the private pathologist beforehand. He was provided with the Manhattan OCME office address, telephone number and the decedent's OCME case number. He expressed that following completion of the autopsy he intends to have the decedent's body shipped to Florida. The visual identification process was also discussed with the brother. Note the decedent's cell at MCC is being held pending the preliminary autopsy results. It's requested that the assigned ME discuss the preliminary autopsy findings with FBI Special Agent Redacted Disposition ME Case Hospital with MLI Scene Investigation NOK does not object to autopsy. NOK plans to retain an independent forensic pathologist to observe the autopsy. The information provided above is true and correct to the best of my knowledge and belief. Electronically signed by Kathleen Liggio on August 11th, 2019 all the information that goes with this episode can be found in the description box.

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