Latest news with #BostonMedicalCenter
Yahoo
3 days ago
- General
- Yahoo
‘It's complete': Officials detail ‘chilling sequence' prior to fatal shooting
A day after ShotSpotter detected 18 gunshots in seven seconds and police found a man fatally shot, a chilling text message was sent: 'It's complete.' Three men have now been charged in connection with the Feb. 4 death of 33-year-old Mauricio Lawrence on Tennis Road in Mattapan. At about 11:30 p.m. on Feb. 4, ShotSpotter detected 18 gunshots near 35 Tennis Road. Boston police responded and found Lawrence had multiple gunshot wounds. He died while being taken by Boston EMS to Boston Medical Center. Suffolk District Attorney Kevin Hayden said the case is a 'chilling sequence of calculated actions.' About six hours before the shooting, video surveillance shows Jair Meeks, 24, entering Lawrence's place of work to record him while two others waited nearby in a Honda Accord. Once back in the car, the car's dash cam recorded Meek tell Shovan Darby, 29, of East Weymouth, and Roberto Taylor, 29, of Dorchester, what to do leading up to the shooting, the district attorney's office said. This included telling them to 'wrap [the gun] up in a bag' to 'try to catch the shells,' to put different tire rims on the Accord to alter its appearance and to use special tape to cover the license plate to make the vehicle harder to detect. Darby and Taylor followed Lawrence in the Accord when he left work, officials said. As Lawrence neared his apartment door, Taylor approached from behind and fired, officials added. Taylor returned to the car and, with Darby driving, fled the area. 'It's complete,' Darby sent Meeks in a text the next morning. 'This case presents a chilling sequence of calculated actions. It also provides an excellent example of investigators pursuing a criminal incident until every person who played a role is identified and brought forward to answer for their conduct,' Hayden said in a press release. Meeks was charged in Suffolk Superior Court with one count of accessory before the fact. He was ordered held without bail. Darby and Taylor were charged in Suffolk Superior Court with first-degree murder on May 8. Meeks, Darby, and Taylor are all due back in Suffolk Superior on June 17 for pre-trial hearings. Here's how long you can get Dunkin's new Pink Spritz refresher for just $3 Scammer told her to withdraw $20K and stop talking to her family — so she did Mass. firefighter arrested at work in connection with child sex abuse materials Mass. casino winner: Slots player bet $1.80 on jackpot spin Community Preservation Committee to hold informational meeting Read the original article on MassLive.
Boston Globe
3 days ago
- Boston Globe
Third man charged in February Mattapan death, allegedly helped coordinate fatal shooting
Darby and Taylor were both charged with first-degree murder in Suffolk Superior Court on May 8. All three men are due back in court on June 17 for pre-trial hearings, the statement said. Surveillance footage from the evening before the shooting captured Meeks arriving at Lawrence's workplace to film him, while Darby and Taylor waited nearby in a Honda Accord, the statement said. Hours later, when Lawrence left work, Darby and Taylor followed him home, and dash-cam audio from their car recorded Meeks giving instructions on how to proceed with the shooting, according to the statement. Advertisement He told them to 'wrap [the gun] up in a bag' to contain shell casings, switch the Accord's rims to alter its appearance, and cover disguise the license plate with special tape, the statement said. Just before 11:30 p.m., as Lawrence approached his apartment door, Taylor came up from behind and shot him. ShotSpotter technology recorded 18 gunshots fired in seven seconds, according to the statement. Taylor then returned to the car, and the pair fled the scene, Darby behind the wheel. Advertisement Responding officers found Lawrence suffering multiple gunshot wounds, and he was pronounced dead while being taken by ambulance to Boston Medical Center, the statement said. The following morning, Darby allegedly texted Meeks, 'it's complete.' 'This case presents a chilling sequence of calculated actions,' said District Attorney Kevin Hayden in the statement. 'It also provides an excellent example of investigators pursuing a criminal incident until every person who played a role is identified and brought forward to answer for their conduct.' Meeks' attorney, Anthony R. Ellison, didn't immediately respond to the Globe's request for comment Thursday night. Rita Chandler can be reached at
Yahoo
3 days ago
- General
- Yahoo
D.A.: Third person charged in fatal Mattapan shooting from February
24-year-old Jair Meeks of Mattapan has been charged in connection with a fatal Mattapan shooting from February, the Suffolk County District Attorney has announced. Meeks is being charged with one count of accessory before the fact and has been ordered to be held on bail. Alongside Meeks, Shavon Darby, 29, of East Weymouth, and Roberto Orlando Taylor, 29, of Dorchester, were also charged back on May 8. The incident took place back on February 4, around 11:30 PM, when officers responded to a report of a person shot in the area of 35 Tennis Road near Blue Hill Avenue in Mattapan. Upon arrival, officers found 33-year-old Mauricio Lawrence suffering from gunshot wounds. Lawrence passed away while being transported by EMS to Boston Medical Center. During the investigation, police obtained surveillance video which showed Meeks entering Lawrence's place of work about six hours before the shooting to record him. Outside, Darby and Taylor waited nearby in a Honda Accord. In audio obtained by the Honda's dashcam, Meeks can be heard telling Darby and Taylor to 'wrap [the gun] up in a bag' and to 'try to catch the shells'. Meeks also advised the two to put different tire rims on the car to alter its appearance and to use special tape to cover the license plate, making the vehicle harder to detect. Later that day, Darby and Taylor followed Lawrence in the Honda Accord when he left work. As Lawrence arrived to his apartment door, Taylor approached him and fired. A ShotSpotter activation had detected 18 shots in seven seconds. Taylor then returned to the car, and he and Darby drove away. Darby sent Meeks a text the following morning saying, 'It's complete.' Meeks, Darby, and Taylor are due back in Suffolk Superior on June 17 for pre-trial hearings. This is a developing story. Check back for updates as more information becomes available. Download the FREE Boston 25 News app for breaking news alerts. Follow Boston 25 News on Facebook and Twitter. | Watch Boston 25 News NOW
Medscape
7 days ago
- Health
- Medscape
Tenecteplase Before Thrombectomy Boosts LVO Stroke Outcomes
HELSINKI — In patients with large vessel occlusion stroke treated within 4.5 hours of symptom onset, outcomes were better in those who received the thrombolytic tenecteplase prior to endovascular therapy than in those who underwent endovascular treatment alone. Results from the BRIDGE-TNK trial showed that patients who received tenecteplase had a significantly higher likelihood of achieving functional independence at day 90. Several earlier trials of thrombolysis before endovascular therapy — most using alteplase as the thrombolytic — failed to show significant benefit. Commentators now suggest that the latest findings from the BRIDGE-TNK trial suggested tenecteplase may potentially be a more suitable agent in this clinical scenario. 'Essentially, what our trial showed was that patients who received tenecteplase before endovascular therapy did better than those who did not receive tenecteplase. And it was a highly significant result, supporting the idea that we should give tenecteplase to these patients who are presenting directly to endovascular centers. All patients in this trial were directly presenting to the endovascular center,' said study investigator Thanh Nguyen, MD, director of Interventional Neurology/Neuroradiology at Boston Medical Center, Boston. The BRIDGE-TNK trial results were presented on May 21 at the European Stroke Organization Conference (ESOC) 2025 and simultaneously published online in The New England Journal of Medicine. Better Functional Independence The open-label BRIDGE-TNK trial included 550 patients with acute ischemic stroke due to large-vessel occlusion who presented within 4.5 hours of symptom onset and were eligible for thrombolysis. Patients were randomly assigned to receive either intravenous tenecteplase followed by endovascular thrombectomy or endovascular thrombectomy alone. The primary outcome was functional independence at 90 days, measured on a scale from 0 to 6, with higher scores indicating greater disability. Secondary outcomes included successful reperfusion before and after thrombectomy. Safety outcomes assessed symptomatic intracranial hemorrhage within 48 hours and death within 90 days. At 90 days, functional independence — defined as a score of 0-2 on the modified Rankin Scale — was achieved in 52.9% of patients in the tenecteplase-thrombectomy group compared with 44.1% in the thrombectomy-alone group (unadjusted risk ratio, 1.20; 95% CI, 1.01-1.43; P = .04). The time between tenecteplase administration and the start of endovascular therapy was very short — a median of 16 minutes — yet there was still a significant increase in successful reperfusion before thrombectomy in the tenecteplase group (6.1%) vs thrombectomy-alone group (1.1%). Successful reperfusion after thrombectomy occurred in 91.4% of patients in the tenecteplase group and 94.1% in the thrombectomy-alone group. Symptomatic intracranial hemorrhage within 48 hours occurred in 8.5% of patients in the tenecteplase-thrombectomy group and 6.7% in the thrombectomy-alone group — a nonsignificant difference. Ninety-day mortality was 22.3% in the tenecteplase group vs 19.9% in the thrombectomy-alone group. Peter Kelly, MD, professor of neurology at University College Dublin in Dublin, Ireland, who was not involved in the trial, asked Nguyen how the BRIDGE-TNK results should be interpreted in light of previous, 'perhaps inconclusive,' alteplase trials — and why the signals appear to differ between the two agents. Nguyen said that an individual patient meta-analysis of the alteplase trials suggested a potential benefit of administering the drug before thrombectomy in patients treated very early — within 2.5 hours of symptom onset. However, beyond that time window, the benefit appeared to plateau, with no clear advantage observed. 'I think it depends on what you have available at your hospital. So, if you have alteplase, then you use alteplase. If you have tenecteplase, you use tenecteplase. But if you have the choice between the two, then it would seem reasonable to go with tenecteplase because it's showing superiority over the whole 4.5-hour time window,' Nguyen added. Discussing why tenecteplase may be more effective than alteplase in this setting, Nguyen explained that tenecteplase is more fibrin-specific and has been associated with better recanalization outcomes. She added that its bolus administration makes it faster and more convenient than alteplase, which requires an infusion — an important advantage when time is critical for getting patients to the cath lab. Kelly responded: 'So it might be as simple as that; perhaps it's all down to speed again.' He concluded: 'I think the main take home message is not to withhold thrombolytics in patients with large vessel occlusion stroke on the way to endovascular therapy.' In response, Kelly suggested the difference in outcomes might simply come down to timing. 'I think the main take-home message is not to withhold thrombolytics in patients with large vessel occlusion stroke on the way to endovascular therapy. So, it might be as simple as that; perhaps it's all down to speed again,' he said. A Convincing, Positive Result Commenting on the study for Medscape Medical News , Michael Hill, MD, director of the Stroke Unit for the Calgary Stroke Program, Alberta, Canada, said the results supported the use of thrombolysis before endovascular therapy. 'A meta-analysis of alteplase trials in this situation has suggested a benefit, but this trial with tenecteplase shows a more convincing positive result. This is consistent with previous literature suggesting that tenecteplase may be a more effective thrombolytic agent than alteplase and associated with earlier recanalization.' He suggested that the benefit of thrombolysis before thrombectomy may not just be due to the earlier opening of the vessel. 'The endovascular procedure can cause some distal embolization into the far parts of the circulation, so having a drug on board, which is going to help manage those microcirculatory occlusions should be beneficial. But that's still theoretical at present,' Hill said. 'I think the totality of the alteplase data also suggest that it is beneficial, but tenecteplase could be better, so we should be giving tenecteplase to these patients heading for endovascular therapy,' he added. Hill noted that many regions around the world have already adopted tenecteplase as the thrombolytic of choice for stroke treatment.
CBS News
16-05-2025
- CBS News
Watch Live: Dover doctor Ingolf Tuerk to be sentenced in wife's strangling death
A doctor from Dover, Massachusetts is set to be sentenced in the strangling death of his wife. Ingolf Tuerk was charged with murder in the death of his wife, 45-year-old Kathleen McLean, in May 2020. Tuerk admitted to putting his hands on McLean's neck but said he was defending himself during a fight after she threw a glass at him. "I snapped, I kind of blacked out," Tuerk testified during his trial. "I grabbed her. On the neck." Tuerk is being sentenced on Friday at 2 p.m. You can watch his sentencing in the video player above. Admitted to strangling wife McLean's body was later found in a pond near their Valley Road home weighed down by rocks. Prosecutors said the medical examiner found "injuries and bruising consistent with strangulation." Police found Tuerk unresponsive in a Dedham hotel the same day his wife's body was found. He testified during his trial that he had tried to kill himself. He told police at the time he strangled his wife, panicked when he realized she was dead and dumped her body in the pond. Convicted of voluntary manslaughter A jury convicted Tuerk of voluntary manslaughter earlier this month. Tuerk and McLean got married in December 2019. McLean had accused Tuerk of abuse several times and had filed a restraining order against him in February 2020. Tuerk was once the head of urology at Boston Medical Center-Brighton (formerly St. Elizabeth's Medical Center). At the time of McLean's death, Steward Medical Group said in a statement, "Dr. Tuerk has not seen or treated patients as part of Steward Medical Group for more than a year. He was formally terminated in February." Tuerk faces up to 20 years in prison for the manslaughter conviction.
