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Joshua Perper (December 17, 1932 – July 12, 2021) was a noted forensic pathologist and toxicologist. He served as the Chief Medical Examiner of
Broward County, Florida Broward County ( , ) is a county in the southeastern part of Florida, located in the Miami metropolitan area. It is Florida's second-most populous county after Miami-Dade County and the 17th-most populous in the United States, with over 1.94 ...
for seventeen years, during which time he conducted autopsies on a number of famous individuals, including
Anna Nicole Smith Anna Nicole Smith (born Vickie Lynn Hogan; November 28, 1967 – February 8, 2007) was an American model, actress, and television personality. Smith started her career as a ''Playboy'' magazine centerfold in May 1992 and won the title of 1993 ...
. Prior to his appointment to that position, he served as Allegheny County's Coroner serving metro
Pittsburgh Pittsburgh ( ) is a city in the Commonwealth (U.S. state), Commonwealth of Pennsylvania, United States, and the county seat of Allegheny County, Pennsylvania, Allegheny County. It is the most populous city in both Allegheny County and Wester ...
.


Early life and professional career

Perper was born in
Bacău Bacău ( , , ; hu, Bákó; la, Bacovia) is the main city in Bacău County, Romania. At the 2016 national estimation it had a population of 196,883, making it the List of cities and towns in Romania, 12th largest city in Romania. The city is ...
,
Romania Romania ( ; ro, România ) is a country located at the crossroads of Central, Eastern, and Southeastern Europe. It borders Bulgaria to the south, Ukraine to the north, Hungary to the west, Serbia to the southwest, Moldova to the east, a ...
. Being Jewish, he escaped the Nazis during World War II and, following the war, the Russians. At the age of 18, he moved to Israel, graduating from the Hebrew University of Jerusalem Faculty of Medicine (medical school) in 1960 and Faculty of Law (law school) in 1966. In 1969, he finished post graduate studies in
forensic pathology Forensic pathology is pathology that focuses on determining the cause of death by examining a corpse. A post mortem examination is performed by a medical examiner or forensic pathologist, usually during the investigation of criminal law cases ...
at
Johns Hopkins University Johns Hopkins University (Johns Hopkins, Hopkins, or JHU) is a private research university in Baltimore, Maryland. Founded in 1876, Johns Hopkins is the oldest research university in the United States and in the western hemisphere. It consiste ...
. He served as Associate Medical Examiner, Senior
Research Fellow A research fellow is an academic research position at a university or a similar research institution, usually for academic staff or faculty members. A research fellow may act either as an independent investigator or under the supervision of a p ...
and then Chief Medical Examiner in
Baltimore, Maryland Baltimore ( , locally: or ) is the List of municipalities in Maryland, most populous city in the U.S. state of Maryland, fourth most populous city in the Mid-Atlantic (United States), Mid-Atlantic, and List of United States cities by popula ...
from 1969 to 1971. Between 1971 and 1994, while living in
Pittsburgh Pittsburgh ( ) is a city in the Commonwealth (U.S. state), Commonwealth of Pennsylvania, United States, and the county seat of Allegheny County, Pennsylvania, Allegheny County. It is the most populous city in both Allegheny County and Wester ...
,
Pennsylvania Pennsylvania (; (Pennsylvania Dutch: )), officially the Commonwealth of Pennsylvania, is a state spanning the Mid-Atlantic, Northeastern, Appalachian, and Great Lakes regions of the United States. It borders Delaware to its southeast, Ma ...
, Perper was a
toxicologist Toxicology is a scientific discipline, overlapping with biology, chemistry, pharmacology, and medicine, that involves the study of the adverse effects of chemical substances on living organisms and the practice of diagnosing and treating ex ...
and then Chief Forensic Pathologist in the Allegheny County Coroner's Office (now called the Medical Examiner's Office), serving under
Cyril Wecht Cyril Harrison Wecht (born March 20, 1931) is an American forensic pathology, forensic pathologist. He has been the president of both the American Academy of Forensic Sciences and the American College of Legal Medicine, and headed the board of t ...
.


Allegheny County Coroner

In 1980, Wecht was elected to the Allegheny County Board of Commissioners. Wecht did not resign as Coroner until January 9, two days after his swearing-in as Commissioner, as the law did not prohibit him from holding both the offices of Coroner and Commissioner. He resigned under pressure from a variety of sources, including his predecessor as coroner, Ralph Stalter, a Republican, and the administration of
Governor A governor is an administrative leader and head of a polity or political region, ranking under the head of state and in some cases, such as governors-general, as the head of state's official representative. Depending on the type of political ...
Dick Thornburgh Richard Lewis Thornburgh (July 16, 1932 – December 31, 2020) was an American lawyer, author, and Republican politician who served as the 41st governor of Pennsylvania from 1979 to 1987, and then as the United States attorney general fr ...
, also a Republican. Wecht initially recommended that Perper succeed him, and indeed Perper held the title of Acting Coroner until Thornburgh appointed Sanford Edburg to succeed Wecht. While Perper initially rejected the appointment as unconstitutional, the
State Supreme Court In the United States, a state supreme court (known by other names in some states) is the highest court in the state judiciary of a U.S. state. On matters of state law, the judgment of a state supreme court is considered final and binding i ...
upheld Thornburgh's right to appoint Edberg, who duly took over the office of Coroner on March 2, 1981. The transition was not met without a brief physical altercation between the two men. Perper would return to the Coroner's office in January 1982, after he defeated Edberg in the fall 1981 general election.


Los Angeles County Medical Examiner appointment

In February 1991, the
Los Angeles County Board of Supervisors The Los Angeles County Board of Supervisors (LACBOS) is the five-member governing body of Los Angeles County, California, United States. History On April 1, 1850 the citizens of Los Angeles elected a three-man Court of Sessions as their first ...
voted unanimously to name Perper the County's new Chief Medical Examiner. While Perper initially accepted the posting, he backed-out of the job two months before he was to begin his duties. Perper cited a variety of reasons behind his decision, including the economic–media reports which indicated Perper and his wife, a real estate agent, believed they could not afford the kind of home to which they had become accustomed—and the emotional—Perper's wife also did not want to leave behind the couple's friends. He would therefore remain Allegheny County Coroner for another three years.


Broward County Chief Medical Examiner

Perper did resign as Allegheny County Coroner in 1994, after he was appointed Chief Medical Examiner of
Broward County Broward County ( , ) is a county in the southeastern part of Florida, located in the Miami metropolitan area. It is Florida's second-most populous county after Miami-Dade County and the 17th-most populous in the United States, with over 1.94 ...
,
Florida Florida is a state located in the Southeastern region of the United States. Florida is bordered to the west by the Gulf of Mexico, to the northwest by Alabama, to the north by Georgia, to the east by the Bahamas and Atlantic Ocean, a ...
by
Governor A governor is an administrative leader and head of a polity or political region, ranking under the head of state and in some cases, such as governors-general, as the head of state's official representative. Depending on the type of political ...
Lawton Chiles Lawton Mainor Chiles Jr. (April 3, 1930 – December 12, 1998) was an American politician who served as the 41st governor of Florida from 1991 until his death in 1998. A member of the Democratic Party, he previously served as a United States ...
.


Notable autopsies


Krissy Taylor

Perper performed the
autopsy An autopsy (post-mortem examination, obduction, necropsy, or autopsia cadaverum) is a surgical procedure that consists of a thorough examination of a corpse by dissection to determine the cause, mode, and manner of death or to evaluate any dis ...
on Krissy Taylor, the 17-year-old
model A model is an informative representation of an object, person or system. The term originally denoted the plans of a building in late 16th-century English, and derived via French and Italian ultimately from Latin ''modulus'', a measure. Models c ...
who died of
bronchial asthma Asthma is a long-term inflammatory disease of the airways of the lungs. It is characterized by variable and recurring symptoms, reversible airflow obstruction, and easily triggered bronchospasms. Symptoms include episodes of wheezing, cou ...
in 1995, after collapsing in her parents' home. Krissy was the younger sister of model Niki Taylor.


Steve Bechler

Perper performed the
autopsy An autopsy (post-mortem examination, obduction, necropsy, or autopsia cadaverum) is a surgical procedure that consists of a thorough examination of a corpse by dissection to determine the cause, mode, and manner of death or to evaluate any dis ...
of Steve Bechler after the pitcher's death on February 17, 2003. According to Perper: "It is my professional opinion that the toxicity of ephedra played a significant role in the death of Mr. Bechler, although it's impossible to define mathematically the contribution of each one of the factors in his unfortunate death due to heatstroke." During the investigation Perper interviewed Bechler's family. He found that Bechler was overweight, out of shape, was not yet accustomed to the warm and humid weather in South Florida, was on a primarily liquid or semi-liquid diet, did not feel well or eat the night before he collapsed and had high blood pressure, was using Xenadrine and had abnormal liver functions.


Anna Nicole Smith

Perper oversaw as Gertrude M. Juste and Stephen Cina examined and autopsied the body of
Anna Nicole Smith Anna Nicole Smith (born Vickie Lynn Hogan; November 28, 1967 – February 8, 2007) was an American model, actress, and television personality. Smith started her career as a ''Playboy'' magazine centerfold in May 1992 and won the title of 1993 ...
in 2007. He also had significant involvement in the hearing deciding the fate of her body and has made numerous TV appearances on
Nancy Grace Nancy Ann Grace (born October 23, 1959) is an American legal commentator and television journalist. She hosted '' Nancy Grace'', a nightly celebrity news and current affairs show on HLN, from 2005 to 2016, and Court TV's ''Closing Argument ...
and various other shows in relation to this. Perper revealed his findings that Smith's death was due to an accidental lethal combination of therapeutic levels of 3
benzodiazepine Benzodiazepines (BZD, BDZ, BZs), sometimes called "benzos", are a class of depressant drugs whose core chemical structure is the fusion of a benzene ring and a diazepine ring. They are prescribed to treat conditions such as anxiety disorders, ...
s and
chloral hydrate Chloral hydrate is a geminal diol with the formula . It is a colorless solid. It has limited use as a sedative and hypnotic pharmaceutical drug. It is also a useful laboratory chemical reagent and precursor. It is derived from chloral (trich ...
. Chloral hydrate was believed to be the major contributing factor. An infection in her left buttock was also a contributory factor. After reviewing evidence in collaboration with legal authorities, he judged the death "accidental" and not suicide or homicide, or death by natural causes.


Bernice Novack

The autopsy of Bernice Novack idow of Fountainbleau Hotel owner Ben Novack Sr.in 2009 was one of his worst cases, and damaged his reputation a great deal. Initially Perper opined her death to be accidental as a result of a slip and fall. Three months later, evidence gathered that her daughter-in-law Narcy Novack had in fact murdered her. In the face of new evidence athered by police; not by him he promptly reclassified Bernice's death as a homicide.


Retirement

In September 2011, Governor
Rick Scott Richard Lynn Scott ( Myers, born December 1, 1952) is an American politician serving as the junior United States senator from Florida since 2019. A member of the Republican Party, he was the 45th governor of Florida from 2011 to 2019. Scott ...
announced he would not reappoint Perper to another three-year term as Chief Medical Examiner. No reason was given officially, but it is possible, it was due to his botching up of Novack's autopsy. Additionally, in 2011, his 49-year-old son, Dr. Zvi Harry Perper, was arrested and charged with racketeering and drug trafficking. However, Perper expressed surprise at the decision, and subsequently announced his intention to resign at the end of October of that year, and enter retirement. He died on July 12, 2021.


See also

* ''Microscopic Diagnosis in Forensic Pathology'' * ''When to...CALL THE DOCTOR! Your A–Z Guide to Illness, Injury and Today's Medicine'' * ''Self-assessment of current knowledge in forensic pathology and legal medicine: 1,100 multiple choice questions and referenced answers''


References

* * * {{DEFAULTSORT:Perper, Joshua 1932 births 2021 deaths Medical examiners People from Bacău Romanian emigrants to the United States American people of Romanian-Jewish descent American coroners People from Allegheny County, Pennsylvania People from Broward County, Florida