"They had never met anyone like me before. Piles of money and terrible manners". Just about sums it all up. Moving a few irritating folk out of the way is just daily business for Bobby. Am beginning to understand why the mother threw herself of a roof. Would not surprise me Kathy was pregnant when he killed her. It was never about money.
He inherited the money ,couldn't keep a job, wasn't that bright , claimed he got a masters degree and didn't. Full of BS and as cruel and evil a person as you're likely to meet.
I wondered if that part about his mom was true or not. I just now watched the movie. I've put it off for years . It's always popping up so I finally watched and saw it was based on true story so of course I looked it up lol.
The thing is with Bob he was probably conscious of that and probably did everything to avoid that. Not only because of his hatred of the concept of famoly but also the potential for having to provide child support for the next 18 years.
You are all right about Durst it’s always been all about him. Only reason he gave Susan an ounce of attention was that fear he knew she had all the goods on him. Only reason he talked to her. The cheapest man alive same thing only reason he kept giving was to stay safe
(I’m a forensic psychiatrist) The threshold is based not so much on a person’s age or even the illness (even schizophrenia) because the legal threshold is independent of PAST history including diagnoses. It requires that a psychiatrist evaluate the patient to determine whether he/she can understand the legal proceedings in order to participate in their own defense. If they are incapable due to a psychiatric condition, and a report by a psychiatrist or a neurologist is presented as such, the judge can accept this at which time the defendant is declared IST (incompetent to stand trial). At that point, psychiatrists have up to 3 years to restore competence via involuntary treatment if needed. This takes place at a state hospital such as Patton. Once restored, the patient/dependent is transferred back to Twin towers and the trial is INITIATED. We are seemingly way past that point. He has been declared competent to stand trial presumably given he is housed in the licensed medical facility with ongoing psychiatrists who evaluate him and would provide such information to the court when requested, which likely has been ongoing. The question that looms is and I don’t know the answer or whether that will be addressed by the defense is the role of his bladder and esopheal cancers, i.e. are they metastatic and did they seed in the brain? Was that related to the hydrocephalus and the need for the VP shunt. If so, as a physician looking at this without considering any other information, I would want to know what his MRI looks like and looked like previously if available given the impact of the frontal lobes in particular on a person who already seemed to have impulse control in the past. They will not be able to ask for any change in the charges as we only have one other option, ‘insanity’ which is a very difficult threshold to meet. It requires that the person have no understanding of the crime being committed, i.e. the gravity and/or the consequences secondary to severe psychiatric presentation such as psychosis which I’ve yet to hear about. It would require a very thorough timeline to be constructed of his mental status in conjunction with his medical dx and in particular the shunt, all of which would need to have been documented ideally by a psychiatrist. Was there sig change in his behavior which can be linked to the increase intracranial pressure? dont know-would need to know the timeline of his diagnoses and ideally objective documentation such as medical notes and imaging that would show a sig shift. That could-big ‘could’-provide some context for poor judgment at the time (but unlikely so much so that an insanity plea would be feasible ( but it wouldn’t impact his competency). I’m assuming this defense team has already gone down that path and if there was information that would support any suggestion of a confounding variable impacting his judgment, it would likely have been discussed in the opening statement. (Sorry for the lengthy response).
@@toriesepahmd6468 wow...don't be sorry !... you take time to answer my question...so i thank you... i wish i could say more..but my english is limited..i'm working on learning... again ..aprreciate you take time to give this answer
@@jogillett8518 you asked this question in a very timely manner it turns out as Dr. Keith Klein took the stand a few days ago and addressed some of the issues I presented above. What is unusual is that the defense is asking for a mistrial based on Mr. Durst's current mental status secondary to multiple contributing etiologies such as 1. 'failure to thrive' which is the dx given if a person is malnourished. Just based on a visual exam without knowing his labs, he has what is called bitemporal wasting, suggestive of cachexia which would support this. But we have definitive LABS that are indicative of FTD/malnutrition, most notably what is called an 'albumin' level. Perhaps this is in his report. 2. I wasn't exactly clear on why his staghorn nephrolithiasis presented an acute risk for urosepsis. Either he has an ongoing urinary tract infection which places him at risk for urosepsis or he doesn't. That isn't difficult to determine. I didn't hear anything about a current UA. 3. Many people have CKD 3-4. We don't hospitalize them unless they require emergent dialysis. Is Dr. Klein stating that the patient requires dialysis and/or is a candidate for a renal transplant? If so, I'd expect that could happen and does happen at Twin Towers vis a vis nephrology at USC. Otherwise, is he suggesting that the CKD (chronic kidney disease) is reversible should the staghorn nephrolithiasis be addressed surgically by urology? If so, that's a procedure which can be done --but doesn't necessarily warrant a mistrial from my experience (I was also a physician at Twin Towers for 2 years who happened to care for patients on the ward that Mr. Durst is housed in). 3. Dr. Klein alluded to an abnormal TSH indicating he requiring thyroid supplementation. This is not very complicated as an intervention. Just a rx for cytomel or synthroid. Doesn't require a mistrial but a prescription. 4. Retaining urine/inability to empty his bladder--again, that's why he had/has a catheter. 5. Dr. Klein mentioned 'ventricular tachyarrythymia' from a note in the ICU. So patients who have an infection severe enough to be in the ICU will likely have what are called PVC's or premature ventricular contractions on the monitor bc they're in acute distress. That doesn't necessarily mean that they are risk for sudden cardiac death forever. What does increase the risk for sudden cardiac death which Mr. Klein discussed, is something on the ekg known as the QTc. If it is greater than 460, then yes, the person may be at risk for QT prolongation-->ventricular arrythmia, namely torsade de point and thus SCD. The goal in such cases is to reduce the qt interval by adjusting electrolytes, reducing polypharmacy, etc. My point in addressing all of the above is that the aforementioned constellation of possible causes of decompensation during trial should warrant treatment, which may take outpatient appts and perhaps 1-2 inpatient days, but not sure why that would have to lead to a mistrial. If Dr. Klein is suggesting that this defendant is INCOMPETENT to stand trial--well, you need a psychiatrist to determine that. Having deficits in one's cognition CAN impact competence but it does NOT equate to being incompetent to stand trial. Dr. Klein would not necessarily know this bc he wouldn't be familiar with what is entailed in determining competence for trial as nephrologists don't do that. Ever. Just as I don't determine who will start dialysis. He stepped a bit out of his lane. If Mr. Durst was to be determined incompetent then that is a formal process and the trial would be interrupted but if I were the judge, I would be very wary of making such a declaration without a psychiatrist's declaration, especially when Mr. Durst is being treated by psychiatrists at Twin Towers. They are extremely experienced with assessing competency and if that was not included in this process, it would not follow general jurisprudence. This would be the first time a nephrologist determined competence. He can and did comment on "capacity for informed consent" but that is not the same as incompetence and that is not a determining factor independently for a declaration of incompetence. A psychiatrist would need to perform several neuropsychiatric exams including a Folstein, a MOCA and address his overall functional status. If he TRULY lacks capacity for informed consent, then he would need a POA/conservator. I don't think they want to go down that path. So capacity and competence are wholly distinct. I'm surprised the judge didn't catch that. If you lack CAPACITY than that means someone else has to make your decisions. That's a big declaration to make. Also, it should be noted that Mr. Durst is housed in the Medical Ward at Twin Towers. He has 24 hr nursing care and is under the care of physicians. He is not housed in general population. He is already in a hospital, a licensed one under Title 22. Maybe the care is not 'equal' to Cedars Sinai but having worked there and cared for inmates during my residency at LAC + USC medical center, I would doubt that a high profile defendant such as Mr. Durst would have his medical needs egregiously mishandled. I would want to hear from his treating physicians--both internist and psychiatrist at Twin Towers. Perhaps Mr. Durst has refused interventions that were recommended? What have been the barriers?
This is absolutely terrifying. This man is a literal monster.
It's easy to see why he has had to buy so many friends over the years. He is so unlikable.
He believes he is now and always has been a very important person. He also likes to refer to all of his money. Disgusting human.
"They had never met anyone like me before. Piles of money and terrible manners". Just about sums it all up. Moving a few irritating folk out of the way is just daily business for Bobby. Am beginning to understand why the mother threw herself of a roof. Would not surprise me Kathy was pregnant when he killed her. It was never about money.
He inherited the money ,couldn't keep a job, wasn't that bright , claimed he got a masters degree and didn't. Full of BS and as cruel and evil a person as you're likely to meet.
I wondered if that part about his mom was true or not. I just now watched the movie. I've put it off for years . It's always popping up so I finally watched and saw it was based on true story so of course I looked it up lol.
That poor woman
I feel sad for Kathleen that she never had a child.
Not the fact that she was freaking MURDERED?!?!
What so Bob could have another victim?
Of course I'm sad she was murdered, that's a given. I'm sad that while she was alive she didn't have the joy of having a child. Sheesh, lighten up.
He has gotten away with lives of two others. Arrogance shows. Never thought these interviews would be the nail in his coffin.
He is suspected of killing another 3 young girls aswell, Lynne Schulze 18, Karen Mitchell 16 & Kristen modafferi 18.
Durst seemed to be very self aware, yet still insisted on acting like a jerk.
I wouldn't be surprised if Kathy was pregnant when he killed her
She wasnt?
@@JF.007 you don't know that
The thing is with Bob he was probably conscious of that and probably did everything to avoid that. Not only because of his hatred of the concept of famoly but also the potential for having to provide child support for the next 18 years.
You are all right about Durst it’s always been all about him. Only reason he gave Susan an ounce of attention was that fear he knew she had all the goods on him. Only reason he talked to her. The cheapest man alive same thing only reason he kept giving was to stay safe
Susan and Durst were friends for years before she "had the goods on him," otherwise he wouldn't have trusted her enough to confide in her.
Had he not been born rich, he would be Ted Bundy 2.0.
Why are people so hostile when responding to comments?
How much did he give her as a weekly allowance?
Probably not much, yet acted like it was God's gift.
Horrific monster ☠️☠️
The taxpayers are paying for this???Who cares to hear,open/close??
LONGEST
TRIAL EVER
is he competent to stand trial??...
(I’m a forensic psychiatrist) The threshold is based not so much on a person’s age or even the illness (even schizophrenia) because the legal threshold is independent of PAST history including diagnoses. It requires that a psychiatrist evaluate the patient to determine whether he/she can understand the legal proceedings in order to participate in their own defense. If they are incapable due to a psychiatric condition, and a report by a psychiatrist or a neurologist is presented as such, the judge can accept this at which time the defendant is declared IST (incompetent to stand trial). At that point, psychiatrists have up to 3 years to restore competence via involuntary treatment if needed. This takes place at a state hospital such as Patton. Once restored, the patient/dependent is transferred back to Twin towers and the trial is INITIATED. We are seemingly way past that point. He has been declared competent to stand trial presumably given he is housed in the licensed medical facility with ongoing psychiatrists who evaluate him and would provide such information to the court when requested, which likely has been ongoing. The question that looms is and I don’t know the answer or whether that will be addressed by the defense is the role of his bladder and esopheal cancers, i.e. are they metastatic and did they seed in the brain? Was that related to the hydrocephalus and the need for the VP shunt. If so, as a physician looking at this without considering any other information, I would want to know what his MRI looks like and looked like previously if available given the impact of the frontal lobes in particular on a person who already seemed to have impulse control in the past. They will not be able to ask for any change in the charges as we only have one other option, ‘insanity’ which is a very difficult threshold to meet. It requires that the person have no understanding of the crime being committed, i.e. the gravity and/or the consequences secondary to severe psychiatric presentation such as psychosis which I’ve yet to hear about. It would require a very thorough timeline to be constructed of his mental status in conjunction with his medical dx and in particular the shunt, all of which would need to have been documented ideally by a psychiatrist. Was there sig change in his behavior which can be linked to the increase intracranial pressure? dont know-would need to know the timeline of his diagnoses and ideally objective documentation such as medical notes and imaging that would show a sig shift. That could-big ‘could’-provide some context for poor judgment at the time (but unlikely so much so that an insanity plea would be feasible ( but it wouldn’t impact his competency). I’m assuming this defense team has already gone down that path and if there was information that would support any suggestion of a confounding variable impacting his judgment, it would likely have been discussed in the opening statement. (Sorry for the lengthy response).
@@toriesepahmd6468 Thank you for taking the time to explain it so thoroughly . Very much appreciated 👍
The lawyers have made Durst,a good actor!
@@toriesepahmd6468 wow...don't be sorry !... you take time to answer my question...so i thank you... i wish i could say more..but my english is limited..i'm working on learning... again ..aprreciate you take time to give this answer
@@jogillett8518 you asked this question in a very timely manner it turns out as Dr. Keith Klein took the stand a few days ago and addressed some of the issues I presented above. What is unusual is that the defense is asking for a mistrial based on Mr. Durst's current mental status secondary to multiple contributing etiologies such as 1. 'failure to thrive' which is the dx given if a person is malnourished. Just based on a visual exam without knowing his labs, he has what is called bitemporal wasting, suggestive of cachexia which would support this. But we have definitive LABS that are indicative of FTD/malnutrition, most notably what is called an 'albumin' level. Perhaps this is in his report. 2. I wasn't exactly clear on why his staghorn nephrolithiasis presented an acute risk for urosepsis. Either he has an ongoing urinary tract infection which places him at risk for urosepsis or he doesn't. That isn't difficult to determine. I didn't hear anything about a current UA. 3. Many people have CKD 3-4. We don't hospitalize them unless they require emergent dialysis. Is Dr. Klein stating that the patient requires dialysis and/or is a candidate for a renal transplant? If so, I'd expect that could happen and does happen at Twin Towers vis a vis nephrology at USC. Otherwise, is he suggesting that the CKD (chronic kidney disease) is reversible should the staghorn nephrolithiasis be addressed surgically by urology? If so, that's a procedure which can be done --but doesn't necessarily warrant a mistrial from my experience (I was also a physician at Twin Towers for 2 years who happened to care for patients on the ward that Mr. Durst is housed in). 3. Dr. Klein alluded to an abnormal TSH indicating he requiring thyroid supplementation. This is not very complicated as an intervention. Just a rx for cytomel or synthroid. Doesn't require a mistrial but a prescription. 4. Retaining urine/inability to empty his bladder--again, that's why he had/has a catheter. 5. Dr. Klein mentioned 'ventricular tachyarrythymia' from a note in the ICU. So patients who have an infection severe enough to be in the ICU will likely have what are called PVC's or premature ventricular contractions on the monitor bc they're in acute distress. That doesn't necessarily mean that they are risk for sudden cardiac death forever. What does increase the risk for sudden cardiac death which Mr. Klein discussed, is something on the ekg known as the QTc. If it is greater than 460, then yes, the person may be at risk for QT prolongation-->ventricular arrythmia, namely torsade de point and thus SCD. The goal in such cases is to reduce the qt interval by adjusting electrolytes, reducing polypharmacy, etc.
My point in addressing all of the above is that the aforementioned constellation of possible causes of decompensation during trial should warrant treatment, which may take outpatient appts and perhaps 1-2 inpatient days, but not sure why that would have to lead to a mistrial.
If Dr. Klein is suggesting that this defendant is INCOMPETENT to stand trial--well, you need a psychiatrist to determine that. Having deficits in one's cognition CAN impact competence but it does NOT equate to being incompetent to stand trial. Dr. Klein would not necessarily know this bc he wouldn't be familiar with what is entailed in determining competence for trial as nephrologists don't do that. Ever.
Just as I don't determine who will start dialysis. He stepped a bit out of his lane.
If Mr. Durst was to be determined incompetent then that is a formal process and the trial would be interrupted but if I were the judge, I would be very wary of making such a declaration without a psychiatrist's declaration, especially when Mr. Durst is being treated by psychiatrists at Twin Towers. They are extremely experienced with assessing competency and if that was not included in this process, it would not follow general jurisprudence. This would be the first time a nephrologist determined competence. He can and did comment on
"capacity for informed consent" but that is not the same as incompetence and that is not a determining factor independently for a declaration of incompetence. A psychiatrist would need to perform several neuropsychiatric exams including a Folstein, a MOCA and address his overall functional status. If he TRULY lacks capacity for informed consent, then he would need a POA/conservator. I don't think they want to go down that path.
So capacity and competence are wholly distinct. I'm surprised the judge didn't catch that. If you lack CAPACITY than that means someone else has to make your decisions. That's a big declaration to make.
Also, it should be noted that Mr. Durst is housed in the Medical Ward at Twin Towers. He has 24 hr nursing care and is under the care of physicians. He is not housed in general population. He is already in a hospital, a licensed one under Title 22. Maybe the care is not 'equal' to Cedars Sinai but having worked there and cared for inmates during my residency at LAC + USC medical center, I would doubt that a high profile defendant such as Mr. Durst would have his medical needs egregiously mishandled. I would want to hear from his treating physicians--both internist and psychiatrist at Twin Towers. Perhaps Mr. Durst has refused interventions that were recommended? What have been the barriers?
Classic antisocial personality disorder.
Really? I just don't think he's a "people's person"... There are grumpy people everywhere, no big deal.