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๐—ง๐—ต๐—ฒ ๐— ๐—ฎ๐—น๐—ถ๐—ด๐—ป๐—ฎ๐—ป๐˜ ๐—ก๐—ฎ๐—ฟ๐—ฐ๐—ถ๐˜€๐˜€๐—ถ๐˜€๐˜:This woman has an evil secret
Flash photography Standing Entertainment Electric blue Midnight

Produced by Ruth Chenetz, Kathleen Oโ€™Connell and Doug Longhini
[This story first aired on April 9, 2016. It was updated on Sept. 17.]

Decatur, Alabama, Lacey Spearsโ€™ hometown, was the place she first showed an interest in children -- working as a babysitter, and later, at day care.

โ€œI love children,โ€ Spears told โ€œ48 Hoursโ€ correspondent Troy Roberts in her first interview. โ€œTheyโ€™re our future. They should be cared for and loved. โ€œ

Shawna Lynch met Lacey about eight years ago at the daycare center where Spears took care of her son.

โ€œWhen I first met Lacey she was very shy -- but was real good with kids,โ€ Lynch said. โ€œShe volunteered to take-- my kids ... if I needed to go to work and didnโ€™t want to take โ€˜em to the daycare ... She loved my kids, and my kids adored her.โ€

But after a few years, Lynch thought Spears was getting overly involved in her familyโ€™s life, so Shawna stopped spending as much time with her.

โ€œShe was real clingy,โ€ she said. โ€œIt seemed like she never wanted to be by herself. She always had to have a kid there -- somebodyโ€™s kids.

Christy Burnhamโ€™s friendship with Spears also involved Laceyโ€™s willingness to babysit.

โ€œShe met my son Cameron and she became like a good friend,โ€ Burnham said.

The two became close while at junior college, where Lacey took a few nursing classes, before dropping out. Burnham, a single mom at the time, was relieved to have help with her son.

โ€œI trusted her, cause Iโ€™m not gonna leave my kid with somebody that you donโ€™t trust,โ€ she said.

But that trust turned to trepidation, when, Burnham says, she heard some unusual stories, which made her question Laceyโ€™s honesty.

โ€œSome lady from her church comes up and was like, โ€˜Oh, thatโ€™s Cameron.

You got Laceyโ€™s baby.โ€™ And I look at her and Iโ€™m like โ€˜What? This is my child. This isnโ€™t Laceyโ€™s baby,โ€™โ€ Burnham said. โ€œI was like, โ€˜Wow!โ€™โ€

โ€œI never said that I had more than one child. Garnett was my only child,โ€ said Spears.

Spears became pregnant with Garnett in 2008, when she was 20. His father, Chris Hill, was a neighbor whom Lacey briefly dated.

โ€œGarnettโ€™s father was a friend of mine. We lived in the very same apartment complex,โ€ she explained.
Lacey and Garnett Spears
Lacey and Garnett Spears
Spears says Hill did not want to be part of Garnettโ€™s life, so she set out raising her son on her own --

something made especially difficult because Garnett had health issues, which she often posted about.

โ€œHe was in and out of the hospital for the first nine weeks of his life and ... afterwards,โ€ she said.

โ€œAnd what was he suffering from. What were his issues?โ€ Roberts asked.

โ€œGarnett had severe ear infections,โ€ Spears replied. โ€œAnd the biggest problem we had was we couldnโ€™t get him to eat. ...and he would projectile vomit, so he was losing weight.

Doctors diagnosed Garnett with failure to thrive, but could not figure out why he couldnโ€™t hold food down.

So, at 9 weeks old, he had stomach surgery to prevent him from throwing up.

โ€œThey sent him home and he didnโ€™t eat,โ€ Spears explained. โ€œ...he wouldnโ€™t take a bottle, nothing, and about a week later, he was admitted to the hospital for severe dehydration.โ€

Garnettโ€™s condition worsened and he was airlifted from Decatur General Hospital to Birmingham Childrenโ€™s Hospital. His sodium level was found to be dangerously high: 166.

The normal range is 140 for infants. High levels of sodium can be deadly, potentially causing seizures and swelling in the brain.

โ€œI wanted to know what was wrong,โ€ said Spears.
Doctors were able to bring his level down, but never understood how it had gotten so high.

And once again, Spears brought Garnett home from a hospital.

โ€œHe spent more time in the hospital than he spent at home,โ€ Spears told Roberts. โ€œI wanted my son to be healthy.โ€

So she took Garnett to more doctors, telling them she still couldnโ€™t get him to eat.

At 9 months old, Garnett had surgery again--this time to insert a feeding tube, commonly referred to as a G-tube, where nutrients go directly into an opening in the abdomen, either through a hanging bag or a bottle or through a syringe.

โ€œWhat did doctors say to you about his prognosis?โ€ Roberts asked Spears.

โ€œYou know ... they were hopeful that within time, he wouldnโ€™t have so much problems eating,โ€ she replied.

However, Spears says Garnett continued to be plagued by feeding issues. In 2010, they moved from Alabama to Florida to be near Laceyโ€™s grandmother.

While there, Spears babysat, cleaned houses, and received some public assistance. She would occasionally come back to

Alabama to visit.

โ€œThe day that they came to visit, Garnett was just a bouncing little 2-year-old kid, running around.

I never thought he was sick or anything. And then we had lunch and he ate just like a normal 2-year-old would do. Pizza and drinks,โ€ said Lynch.

โ€œGarnett would eat and then he would just stop eating. He would say, โ€˜My stomach hurts. I donโ€™t wanna eat,โ€™โ€ Spears .

โ€œHe would go for an extended period of time where he just simply wouldnโ€™t take anything by mouth and so we used his G-tube as he got older for supplemental feeds only when he needed to be nourished.โ€

โ€œTell me how challenging that was - taking care of a child with so many medical issues?โ€ said Roberts.
โ€œThatโ€™s all I knew,โ€ she Spears replied. โ€œIt was just something that I was given and I embraced it.โ€

โ€œGarnett was becoming of age where he was gonna go to school,โ€ Lacey Spears told Roberts. โ€œ...and I decided that I was going to take him from Florida to New York so that he could have the best education that I felt was possible for him.โ€

Spears learned, from a friend, about an alternative community located an hour outside of New York City, called the Fellowship. Its mission is to care for its elderly residents. Workers live on the premises, contributing to all aspects of the community, receiving free room and board and schooling for children. Lacey thought it would be the ideal atmosphere to raise Garnett, then 3 years old.

โ€œI took care of elderly people,โ€ said Spears.

โ€œDid you like it?โ€ Roberts asked.

โ€œI embraced it. I loved it,โ€ she said.

โ€œWhat about your son?โ€

โ€œHe loved it. He loved the freedom that he could run around the community and there was always a watchful eye on him,โ€ Spears replied.
Garnett Spears
Garnett Spears
Valerie Plauche, a Fellowship member, met Lacey and Garnett when they moved there in 2012, and immediately saw something special in Garnett.

โ€œHe just knew how to reach every person and sort of make them smile,โ€ said Plauche.
And he reached you?โ€ Roberts asked.

โ€œYes, Garnett and I were very good friends, actually,โ€ she replied.

โ€œHe just went around opening everyoneโ€™s hearts,โ€ Plauche continued. โ€œThere was so much love there.โ€

While Spears told people at the Fellowship about Garnettโ€™s medical problems, the boy Plauche knew seemed active and healthy.

โ€œAs far as I could tell, he was hungry often and ... I would have nuts or fruit on the counter and he would eat,โ€ she said.

โ€œDid she seem like a good mother to you?โ€ Roberts asked.

โ€œI thought she seemed like a good mother,โ€ Plauche replied.

โ€œThey had a very loving relationship. And she ... cared about him and talked about him all the time.โ€

Spears says Garnett still could not consistently eat food by mouth, as he continued to suffer from stomach aches.

So she sought help from local doctors.

Dr. Ivan Darenkov, a pediatric gastroenterologist, saw Garnett for five visits over a period of several months in 2013, treating him for stomach ailments and to check on his G-tube.

โ€œWhat were your impressions of Garnett -- did he seem like a healthy boy?โ€ Roberts asked Dr. Darenkov.

โ€œAbsolutely. Absolutely healthy boy,โ€ he replied. โ€œThe most unusual, in Garnett Spearsโ€™ case, was his feeding tube was left in place ... for such a long time. He was 4 when he came to my office.โ€

โ€œDid you have a discussion with Lacey during your first visit with her about removing the G-tube from Garnett?โ€ Roberts asked.

โ€œYes,โ€ Dr. Darenkov replied. โ€œI always say to all my patients that we really need to be absolutely sure that child cannot eat and needs some of all of the calories be provided by the G-tube.โ€

To rule out serious diseases, Dr. Darenkov suggested a number of complicated tests, which Spears readily agreed to -- and which all came back negative.

But when he recommended simple nutritional evaluations to see if the feeding tube was necessary, Spearsโ€™ reaction, he says, was different.

โ€œShe would not say yes, she would not say no,โ€ he explained. โ€œBut she wouldnโ€™t do it.โ€

โ€œWe had begun to talk about the removal of the G-tube, but neither one of us -- me as his mother or him as the physician -- were comfortable with removing the G-tube. It was a goal for the future,โ€ Spears explained.

โ€œI was telling her that I donโ€™t like this tube being there if we donโ€™t need it,โ€ Dr. Darenkov said. โ€œThat was my mantra every time we would meet.โ€

Dr. Darenkov grew frustrated. He says he also asked Spears for Garnettโ€™s previous medical records, which he never received.

Dr. Darenkov stopped seeing Garnett because he moved to a practice in another state, but unsettling suspicions stayed with him.

โ€œThere were red flags along this case -- all through the visits that I had with this child. I thought about them. I tried to work my way through them,โ€ he said.
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โ€œMunchausen by proxy was on my mind ... from day one.โ€
Suspicious, but not certain. And so, Dr. Darenkov did not share his concerns with authorities.

โ€œPhysicians feel they need to know for sure and they donโ€™t. If they have reasonable suspicion ... get consultation. ...But if you suspect, report,โ€ said Dr. Mary Sanders, a clinical psychologist and associate professor at Stanford University.

Dr. Sanders has spent years evaluating Munchausen by proxy cases, where illnesses might be faked or created in a child. She and other Munchausen experts believe the syndrome is child abuse and, as such, needs to be reported.

โ€œA surgically implanted feeding tube is an avenue of chaos. Anything can go in that tube,โ€ Dr. Sanders explained.

โ€œYouโ€™ve seen that in other cases?โ€ Roberts asked.

โ€œWe have seen that in several cases, yes,โ€ Dr. Sanders replied.

Doctor Sanders never met Lacey Spears, but has reviewed information about her. She believes the condition explains much of Spearsโ€™ behavior.
Garnett Spears eating
Garnett Spears
โ€œThe red flags in this case and for me in any case of medical child abuse is when the story does not fit what you see. So when a mother presents symptoms, that when you see the child donโ€™t make sense -- lab levels that donโ€™t make sense ... A mother that says my child will not feed ... we see evidence that the child will feed,โ€ she explained.
โ€œWhat are the motives behind this?โ€ Roberts asked.
โ€œThe motives are varied ... but we can assume that the motives are to gain attention to have drama in oneโ€™s life, excitement,โ€ Dr. Sanders replied.
Another potential red flag for Dr. Sanders: all those posts on social media.
โ€œCertainly the internet opens up a wide audience, you know, not only friends and families, but strangers,โ€ she explained. โ€œThe social media is there to ... send support.โ€
โ€œI did it to inform my family and my friends. I didnโ€™t do anything for sympathy. But I just did it to share my life, Garnettโ€™s life,โ€ Spears told Roberts.
โ€œDo you suffer from Munchausen by proxy?โ€ Roberts asked Spears.
โ€œI do not have Munchausen by proxy. I was evaluated by a psychiatrist and he determined that I do not have Munchausen by Proxy,โ€ she replied.
That evaluation was done after Garnettโ€™s death. And, says Spears, it did not find that she suffered from any mental illness. Spears did not share the report with โ€œ48 Hours.โ€
โ€œThe psychological evaluation is not where we identify the illness,โ€ Dr. Sanders explained. โ€œWhat weโ€™re looking for in inconsistencies in whatโ€™s being reported and what is seen clinically.โ€
โ€œElevated sodium was a factor in this case,โ€ Roberts noted. โ€œIs that common?โ€
โ€œItโ€™s not uncommon ... as a form of Munchausen by proxy child abuse,โ€ said Dr. Sanders.
Life at the Fellowship was going well for Spears and for Garnett, who, after living there a year-and-a-half, was thriving.
โ€œHe was a little social butterfly and he loved it,โ€ Spears said.
Spears said Garnett still required occasional supplemental feedings through his G-tube, which she administered at home, but was otherwise active and seemingly healthy. That changed in January of 2014, shortly after Garnett turned 5, when she says, he came down with a fever, stomachache and headache.
โ€œI took him to the pediatrician who said, โ€˜You know, I canโ€™t figure out anything thatโ€™s going on with him, but weโ€™re gonna watch ... him...โ€ said Spears.
Garnettโ€™s temperature went down and he seemed better, but then several days later his condition worsened.
โ€œAnd I just remember heโ€™s screaming in pain and holding his head,โ€ said Spears.
Garnett was admitted to New Yorkโ€™s Nyack Hospital with seizure-like symptoms. A video EEG was set up using a special cap on his head, wired to a machine that monitors brain activity. Meanwhile, with Spearsโ€™ consent, a camera recorded Garnett in the room. Lacey remained by her sonโ€™s side, caring for him, taking him to the bathroom, and everything seemed normal.
โ€œHis condition improved greatly,โ€ she told Roberts. โ€œFriday night, Saturday he was fine.โ€
But almost two days after being admitted, he took a turn for the worse - with stomach issues and pain.
โ€œHe starts screaming that his head hurts and heโ€™s trying to throw up,โ€ Spears said. โ€œThey call code blue because heโ€™s not breathing.โ€
Tests showed Garnettโ€™s sodium level, which was a normal 138 when he was admitted, was now a dangerous 182 -- which could lead to death. Nyack Hospital decided Garnettโ€™s best chance for recovery was to transfer him to a more specialized childrenโ€™s hospital at Westchester Medical Center, where over the phone, a doctor there was filled in on Garnettโ€™s condition:
Nurse | Nyack Hospital: Sodium is 182.
Doctor | Westchester Medical Center: 182?
Nurse | Nyack Hospital: 182.
Doctor |Westchester MedicalCenter: No, then you need to repeat it. OK? Thatโ€™s impossible.
Two-and-a-half hours later, Garnett was airlifted to Westchesterโ€™s Maria Fareri Childrenโ€™s Hospital. Doctors quickly worked to treat him, and through IVs, they were able, within a day, to bring his sodium level down.

โ€œThe doctor came in to evaluate Garnett. ...And said that He was improving,โ€ Spears explained. โ€œThatโ€™s what every mother wants to hear.

But the recovery lasted less than 24 hours. The damage to Garnettโ€™s body had already been done - the high sodium levels caused his brain to swell. And two days after being admitted to Childrenโ€™s Hospital, Garnett is brain dead, on life support.

โ€œI donโ€™t know whatโ€™s happening,โ€ Spears said. โ€œThis is my 5-year-old son on life support.โ€

โ€œI got the first call ... That there was a sick child in the Maria Farreriโ€™s Children Hospital and they wanted to start an investigation,โ€ said retired Westchester County Det. Dan Carfi.

Doctors could not figure out how Garnettโ€™s sodium level had gotten so high -- unless, someone had given him salt. And the person doctors suspected was Lacey Spears.

โ€œThe thought of this being a death by a loving mother was difficult to swallow. But we didnโ€™t have a whole lot of time to dwell on that,โ€ said Det. Carfi.

An investigation, involving Detective Carfi and Ramapo detectives Kirk Budnick and Greg Dunn, was immediately under way.
Carfi focused on what happened at the hospital. Budnick and Dunn immediately obtained a search warrant for Spearsโ€™ home.
โ€œAnd it just seemed strange that when we walked in, there were four or five medicines in a kitchenette table behind a can of salt,โ€ said Det. Budnick.

โ€œWhat first caught my eye,โ€ said Det. Dunn, โ€œwas in the middle of the living room section was an IV-type pole with a substance hanging from it which was kind of unusual.โ€

โ€œAnd ... I looked at him and I said, โ€˜You know, she told me she was breastfeeding and that looks like breast milk in the bags.โ€™ So we decided not to take it,โ€ Det. Budnick added.
During a search of Spears' home, police seized more than 150 items, including a bottle of sea salt.


They also noticed a similar looking bag in the garbage, and decided to leave that as well. But they did take more than 150 other items -- ranging from food; salt containers; holistic medicines; vitamins; syringes, and tubes.

The following day, the detectives interviewed a cooperative Spears at the hospital.

โ€œWere you surprised when the police showed up?โ€ Roberts asked Spears.

โ€œAbsolutely. Iโ€™m surprised that my son is brain dead.

Iโ€™m surprised that all these events have transpired because one minuteโ€™s heโ€™s fine and the next minute heโ€™s not,โ€ she replied.

โ€œLacey seemed very interested in what was going on in the investigation,โ€ said Det. Budnick.

โ€œIf your child is sick and dying or perhaps brain dead, youโ€™d want to be by that childโ€™s side. Lacey was the opposite.

She wanted to spend more time with us, bringing us people to interview,โ€ Det. Carfi said. โ€œ was a little bit odd.โ€

โ€œYouโ€™re trying to deal with your son, and then what has happened and transpired and then youโ€™re thrown into a mix of police officer and investigators?

I was denied time with my son, the last hours, days of his life, because I was doing everything the police asked of me so that they and myself could figure out what happened to my son,โ€ Spears explained.

โ€œI heard ... that Garnett was brain dead. And it was just so completely devastating,โ€ said Valerie Plauche.
Plauche, the neighbor at the Fellowship, wanted to help Spears through this unimaginable time and had been in contact with her the day after Garnett was pronounced brain dead.

โ€œShe asked me to go to her apartment and take the feeding bag off the stand and dispose of it,โ€ said Plauche.

โ€œDid you ask why?โ€ Roberts asked.
โ€œNo I didnโ€™t ask why,โ€ Plauche replied.

โ€œI was in a very emotional state and just any request she would have asked me to do, anything, I would have done it because I was in such sympathy over the situation that she was losing her child.โ€
Plauche headed to Spearsโ€™ apartment.

A neighbor told her the police had been there. She now had second thoughts about disposing of the bag, so she brought it home.

โ€œFirst I put it in a garbage bag. And then I put it in the closet,โ€ she said.
Plauche told the leaders of the Fellowship what had transpired.

โ€œThey came and got it from me a little bit later,โ€ she said.

And they, in turn, called the police.

The detectives recovered that bag and returned to Spearsโ€™ apartment, taking the feeding bag in the garbage they had left nearly two days earlier. Both bags were sent out for testing.

โ€œI didnโ€™t ask Valerie to go to my apartment and remove anything. I asked her to go and see in which state my apartment was in and what the police had been there doing,โ€ said Spears.
โ€œTwo feeding bags were recovered --โ€ Roberts pointed out.
โ€œYes,โ€ she said.
โ€œAnd what did investigators find?โ€

โ€œWhy were high levels of sodium found in the feeding bags in your home?โ€ Roberts pressed.
โ€œYou would have to ask the person that put it in there, because I didnโ€™t put sodium in the bag.

And the proof is that when I took him to the hospital that night had there been high levels of sodium in that feeding bag ... that I had fed my son out of immediately before he went to the hospital, he would have had high levels of sodium and he didnโ€™t,โ€ Spears replied.
Roberts asked, โ€œSo it magically appears?โ€
During a second search of the home almost two days later, police recovered two feeding bags. Lab reports later revealed they contained massive amounts of sodium.RAMAPO POLICE DEPARTMENT

โ€œIt was exchanged between a multitude of hands before the police got it 48 hours after the bag had been taken from my home,โ€ said Spears.

โ€œSo someone is setting you up?โ€ Roberts asked.

โ€œI didnโ€™t say that someone was setting me up. Iโ€™m saying that I didnโ€™t place it in the bag,โ€ she replied.

โ€œLosing Garnett is the greatest loss I will ever suffer in my life,โ€ Lacey Spears told Roberts.

Two days after Garnettโ€™s brain swelled from the effects of high sodium, he was taken off life support and officially declared dead.

โ€œI miss just being able to pick him up and hug him and kiss him and tell him I love him,โ€ Spears said. โ€œI miss everything about him, everything.โ€

Lacey Spears on losing son
Police were drilling down on their investigation. Lab results on those feeding bags from Spearsโ€™ apartment revealed massive amounts of sodium. Each bag had the equivalent of at least 69 small salt packs.
โ€œThe amounts of sodium that were in those bags were lethal,โ€ said Westchester County Det. Dan Carfi.
Lacey Spears speaks out for the first time in an interview with 48 Hours correspondent Troy Roberts
Lacey Spears speaks out for the first time in an interview with "48 Hours" correspondent Troy Roberts.

โ€œYou didnโ€™t poison your son with salt?โ€ Roberts asked Spears.

โ€œNo, I did not. I never poisoned him with salt,โ€ she replied adamantly.

โ€œThen why is his sodium level so high?โ€ Roberts asked.

โ€œYou would have to ask the hospital that,โ€ said Spears.

Ten weeks after Garnettโ€™s death, the coroner ruled it a homicide. And there seemed to be only one suspect: Lacey Spears. As law enforcement looked into Spearsโ€™ past, they contacted Johnny Coker, an investigator with the D.A.โ€™s office in Decatur, Alabama, Laceyโ€™s hometown.

โ€œI realized I had actually known Lacey when she was a child ... and remember seeing her at church on a regular basis,โ€ said Coker.
Coker came across a disturbing discrepancy in Laceyโ€™s background: she had lied about the identity of Garnettโ€™s father.

โ€œWho was his biological father?โ€ Roberts asked Spears.

โ€œGarnettโ€™s biological father was Chris Hill,โ€ she replied.
But thatโ€™s not what Lacey was telling people.

โ€œLacey liked to tell the story that Garnettโ€™s father was a local deputy in the Morgan County Sheriffโ€™s Department. His name was Blake and that Blake was a hero that he had died in a car crash,โ€ said Coker.

On social media there was post after post, recalling traveling to Blakeโ€™s memorial service, as well as holidays missed.

But Blake Robinson is alive and well, currently a sergeant with the Morgan County, Ala., Sheriffโ€™s Office.

โ€œAbout a decade ago, Lacey and I ... met approximately three times,โ€ Robinson said.

โ€œNot in my wildest dreams would I ever have thought ... that my name wouldโ€™ve been drawn out of this big hat ... as this make-believe father.โ€

โ€œDidnโ€™t you tell people that the biological father was Blake?โ€ Roberts asked Spears.

โ€œI did,โ€ she replied. โ€œI decided with my family that if anybody asked ... we would say his name was Blake and that he was a police officer and he died in a car accident.

And I did it so that when people asked ... it would shut the conversation down. ...I didnโ€™t want Garnett to have the stigmatism that his father was a deadbeat.โ€

But Chris Hill, Garnettโ€™s biological father, says thatโ€™s completely false. Hill, declined an on camera interview, but says he would have welcomed being part of Garnettโ€™s life, but Spears shut him out.

He also said heโ€™s active in another sonโ€™s life.

In addition to looking into Spearsโ€™ personal life, investigators in New York and Alabama were working to piece together Garnettโ€™s medical history.

They obtained subpoenas for his health records and started interviewing doctors.

โ€œIn a period of two years, Miss Spears sought medical attention for her son in about ... 20 different doctorโ€™s offices. Some of them were referrals from one doctor to another,โ€ said Coker.

โ€œSometimes when maybe a doctorโ€™s getting a little too close to figuring out whatโ€™s going on, we might see a move to another doctor,โ€ said Dr. Sanders.
Investigating the death of Garnett Spears Investigating the death of Garnett Spears
And in the investigation, Coker found doctors who were suspicious about Spears.

โ€œFive weeks into his life, one of the doctors ... documented in the medical records that it was possible ... Munchausen by proxy,โ€ he said.

But that suspicion did not get acted upon; nor did other irregularities found during the investigation.

Like a medical report that noted Spears said she wanted to harm the child or one that Garnett suffered bleeding from the eyes and ears with no known medical explanation.

And that report at 10 weeks old of unexplained high sodium levels.

โ€œLooking back in hindsight the doctors said, โ€˜I wish I had noticed this before,โ€™ orโ€™ I wish I had put all this together,โ€™โ€ said Coker.

โ€œ48 Hoursโ€ wanted to speak to additional medical providers who treated Garnett, but our requests were denied, as privacy rules were cited.

โ€œThere were so many missed opportunities,โ€ Dr. Sanders said. โ€œIt appears that somehow, something fell through the cracks.โ€

Calls were made to child service agencies. โ€œ48 Hoursโ€ obtained redacted reports regarding Spears and concerns about feeding issues, Garnettโ€™s weight, and about her changing stories regarding his medical problems.

Those cases were all investigated and closed, saying neglect was unsubstantiated.

โ€œIt appears that these cases were not investigated at the level that they needed to be,โ€ said Dr. Sanders.

โ€œThey say this goes back years, how youโ€™ve tried to hurt your son for years,โ€ Roberts noted to Spears.

โ€œSo you take your child to the doctor and the hospital, seeking help to figure out what was going on with them ... or you neglect them, so youโ€™re damned if you do and youโ€™re damned if you donโ€™t.

So what do they expect you to do? I took care of him. I made sure he had adequate medical history.

I did never once harm my son,โ€ she said.

But the police and the Westchester, N.Y., district attorney thought she did harm Garnett. Five months after Garnett died, Lacey Spears was charged, and held without bail, for murder in the second degree and first-degree manslaughter.

โ€œWe were able to take what she was telling us ... look at the medical records and you know what?

...Everything is explained and matches,โ€ said David Sachs.
Sachs and Stephen Riebling are Lacey Spearsโ€™ attorneys.

โ€œIt was clear through her actions and her demeanor ... obviously, she didnโ€™t do this and ... from the first second... said, โ€˜I didnโ€™t do this,โ€™โ€ said Sachs.

Instead, Spears and her legal team insist Garnettโ€™s death is a medical mistake, with Nyack Hospital at fault.

โ€œThey changed his diet that caused or exacerbated his stomach problem,โ€ Riebling said. โ€œThey didnโ€™t give him the necessary medication during the day to combat dehydration.

Then they exacerbated the dehydration by giving him a rapid infusion ... of ... IV solution.โ€
IVs contain sodium solutions, which the defense believes could have contributed to Garnettโ€™s condition and death.

That argument was refuted by the prosecution when Lacey Spearโ€™s trial began in February of 2015, with her family, traveling from out of state, there to support her.

โ€œThe evidence will show and convince you that this defendant took her son into that bathroom and poisoned him with salt in his G-tube.

You will see what she does,โ€ Westchester County Assistant District Attorney Doreen Lloyd told the court in her opening statement.

The prosecution set out to prove this by playing that video recorded at the hospital.

They contend when Lacey took Garnett to the bathroom, she poisoned him with salt on two occasions through his feeding tube - a claim Lacey and her lawyers dismiss.

โ€œThere is not one single frame of this video that shows Lacey Spears doing anything to her child, Riebling told Roberts. โ€œIn fact, when you watch it, it has just the opposite effect. Itโ€™s exonerating.โ€


In February of 2015, the prosecution and defense put on their case in Lacey Spearsโ€™ trial for the murder of her 5-year-old son, Garnett.

That video from the hospital, intended to record possible seizures, is crucial.

โ€œThe video shows him ... being the healthy kid he could be, if his mother would leave him alone,โ€ Westchester County Assistant District Attorney Patricia Murphy told the court.
A frame of the hospital EEG video before Garnett's condition changed.
A frame of the hospital EEG video before Garnett's condition changed.


Spearsโ€™ lawyers showed โ€œ48 Hoursโ€ sections of the video, recorded without audio, which they believe portrays a caring mother.

Spears, they say, takes Garnett, at his request, to the bathroom, which is out of camera range, 17 times during his stay, and takes part of the feeding tube in only twice, just to clean it.

โ€œAll she has to do is load up a syringe and jam it in the tube. It wonโ€™t take any time at all,โ€ Murphy addressed the court.

โ€œEvery time she takes her son into that bathroom the door remains open,โ€ said Stephen Riebling.
โ€œEvery time?โ€ Roberts asked.
โ€œEvery time,โ€ Riebling replied. โ€œIf youโ€™re going to do something as the prosecution alleged, thatโ€™s as devious and is as sophisticated of having to connect a tube to his abdomen, to have to then pour a fluid down this tube to poison him

... Youโ€™re gonna do it with the door open? So anybody can walk in and interrupt you? It just doesnโ€™t make common sense.โ€

But, the prosecution says the video shows that Garnett becomes ill after two of those bathroom visits.

First, in the morning, he appears uncomfortable and requires the attention of the nurse. And then, later that same day, about 30 minutes after another bathroom trip, he starts gagging and thrashing.

โ€œNo eyewitness ... No forensic evidence ... And no answer to the question why,โ€ Riebling told jurors.

Defense on Spears case
The defense, however, questions where the salt or syringe would come from. And if Spears used the cup in her hand, they say she wouldnโ€™t be able to pour from it into the extremely small opening in the feeding tube.

What is clear, to both sides, is that Garnett was in distress. He soon stops breathing, and is intubated. And blood work shows his sodium level has soared - without any medical explanation.

โ€œIn five hours, it went from 144 to 182. And they all agree. Every doctor who testified agreed that that cannot -- cannot -- happen naturally,โ€ Murphy said in court.

Adding to suspicion, Spears had been searching on the internet about high sodium levels.

โ€œMore searches, dangers of high sodium -- signs of high sodium,โ€ Murphy said in court.

โ€œGarnett was presenting with the exact same symptoms that he presented with when he was 9 to 10 weeks old and we found out he had high sodium,โ€ said Spears.

โ€œLacey, five years later, youโ€™re thinking that heโ€™s exhibiting the same symptoms of high sodium and you want to do research -- days before the boy enters Nyack
Hospital?โ€ Roberts asked.

โ€œIโ€™m his mother. I have to figure out whatโ€™s going on with him,โ€ Spears replied.

โ€œShe spends a considerable amount of time not searching for sodium, but searching for other possible reasons, whether it be a vitamin D deficiency, a brain tumor

... All sorts of stuff,โ€ Dave Sachs explained.

Another area of contention -- those feeding bags from Spearsโ€™ apartment that tested for deadly levels of sodium -- bags the police did not recover in their initial search.

โ€œThis defendant had two feeding bags loaded with salt in her house. And there is no explanation for that,โ€ the prosecutor told jurors.
โ€œThe police lost the chain of custody,โ€ Riebling explained. โ€œ...they only reestablished it after somebody went in and admittedly took it out and had it for more than 24 hours ... that is tampering.โ€
One thing not brought up: Munchausen by proxy.
โ€œThe responsible thing to do as attorneys is to have your client submit to mental examination and she did. She was not diagnosed Munchausen by proxy,โ€ said Sachs.
It is up to Spearsโ€™ lawyers, not the prosecution, to raise a psychiatric defense and her attorneys contend this is not about Lacey, but about the hospital not giving Garnett proper medical care. Nyack Hospital denied โ€œ48 Hoursโ€โ€™ requests to comment on the case.
After approximately three weeks, the trial neared its close.
โ€œLacey Spears is presumed innocent in the eyes of the law,โ€ Riebling told jurors in his closing.
Without the defense calling a single witness, counting on they did all they needed to do -- just raise reasonable doubt.
โ€œYou are required to also presume her innocence until they meet their burden,โ€ Riebling continued in court.
โ€œIโ€™d ask you to put the pieces together,โ€ Murphy said in her closing. โ€œIโ€™m gonna ask you to do justice for a 5-year-old boy who should not be dead.โ€
One month after Lacey Spearโ€™s trial began, on the third day after the case went to the jury, a verdict is reached: Guilty of depraved indifference murder of a child.

Spears, her family, and her attorneys were stunned.

โ€œShocking,โ€ Spears told Roberts. โ€œI did not murder my son. I did not hurt my son. And to be told that I was found guilty of murdering my own son, there are no words to describe that.โ€

โ€œJuries make mistakes every day,โ€ said Sachs.

โ€œI strongly believe that there was ... insufficient evidence to -- convict her of murder -- depraved indifference murder in this case,โ€ said Riebling.

The defense believes the charge of depraved indifference murder was one the jury did not fully understand -- and one that should have never been applied to this case.

That is a focus of their appeal.

โ€œDepraved indifference means that you have a complete disregard for the victim in this case?โ€ Roberts asked.

โ€œA complete uncaring or disregard whether or not the victim lives or dies,โ€ Riebling replied.

โ€œAnd time after time in this case, itโ€™s Lacey Spears and only Lacey Spears whoโ€™s calling for help for her son.โ€

Her lawyers remain steadfast in their belief Spears could never harm Garnett -- or any child.

โ€œIf circumstances were different, would you feel comfortable having Lacey Spears take care of your children?โ€ Roberts asked her attorneys.

โ€œIโ€™d have no reason not to, right?โ€ said Sachs.
โ€œAnd I would agree with that,โ€ said Riebling.
Lacey Spears awaiting her sentence from the judge
Lacey Spears awaits her sentence.
InApril of 2015, Lacey Spears was sentenced. And those words never heard during trial were now spoken by the judge.

โ€œOne does not have to be a psychologist to realize you suffer from a mental illness, known as Munchausen by proxy,โ€ Judge Robert Neary addressed Spears.
He then delivered his sentence: 20 years to life.

โ€œDo you even realize the magnitude of your crime?โ€ Judge Neary continued.

โ€œBy not imposing the maximum sentence, Iโ€™m combining punishment with something that you really did not exhibit towards your son, namely, mercy.โ€

Detectives on Spears case
โ€œI sit here in prison innocent,โ€ Spears told Roberts. โ€œI loved my son. ...he was cherished, he was taken care of. ...When I lost Garnett, I lost the part of who I was and I lost my future.โ€
Garnett Spears
Garnett Spears
And for friends who knew Garnett, memories are tinged with regrets.

โ€œI feel like if we would have saw the signs, we could have helped Lacey and helped Garnett,โ€ Shawna Lynch said. โ€œIt hurts my heart. Because ... that poor innocent child didnโ€™t deserve this.โ€

And there is the hope that the little boy, who moved so many, is not forgotten.

โ€œHe connected with people and he made people feel loved,โ€ Valerie Plauche said. โ€œHe was this soaring spirit of goodness and thatโ€™s how we should remember him ... and honor him.โ€

Lacey Spears will eligible for parole in 2034. She will be 46 years old.
Troy Roberts
Correspondent, "48 Hours"

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My brain is still caught up on the phrase '7-year old infant' cuz in my opinion if you're seven years old you're not an infant anymore but a child. Needless to say the poor thing didn't have help in this situation :c - and to think that is happening to some one else right now D: the world is pretty twisted...

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My father is a malignant narcissist and my mother is a vulnerable (or covert) narcissist. You know what they look like? Not this Disney cartoon-like representation:
Nose Mouth Eyelash Smile Flash photography

People assume they would sense such people, as if it'd be obvious somehow. They'd expect it to be the wide-eyed person with a crime on their record, such as "Crazy Eyes" in Orange is the New Black, and judge these kinds of people.
Forehead Nose Cheek Eyebrow Ear

Sometimes it's the ones who seem like the kindest, or perhaps just the most average, people. They look like the head of the teachers at your child's school. They look like the teacher in a classroom people say seems so warm, or the stressed woman who appears to overwork herself out of kindness or go out of her way to help others while teaching special needs children. That's the woman that goes home and abuses her own kids because she's a Vulnerable Narcissist (aka Covert Narcissist). That's the woman who drops her minor child off at a gas station in the middle of the night in the middle of nowhere.

They look like the guy that steps out of an ordinary vehicle (nothing that screams "I'm compensating" or "I need the best of the best") walks in the fast food place, and kindly tells you to go ahead in front of him, and makes everyone laugh and smile. That's the guy who walks out of there, shit talks everyone, and lets his real face show as he returns to abusing his wife and children psychologically and physically, putting a gun to her head and threatening to kill them all if she ever leaves.

It's important for us to eliminate these kinds of biases, like the ones created by OP's photos and by Disney villains. When we think about how average they normally seem, it frightens us, thus normalizing the idea that we really need to understand exactly how to detect them.

INTJ8w9โญโญโญโญโญ๐ŸŒ€๐Ÿ’œ๐Ÿ–ค๐Ÿ–ค๐Ÿ’™๐Ÿ’š๐Ÿค๐Ÿ’›๐Ÿงก๐Ÿงกโค๐—บ๐—ฒ๐˜๐—ฎ๐—ฐ๐—ตั•ฯƒฯ…โ„“๐”๐‘๐ƒ๐ˆ๐€๐๐’โ™กโšโ›“๐Ÿชแ’แ‘Œแ”•T แ—ชO YOแ‘Œแ–‡ แ—ทEแ”•T!
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Discussion Starter · #5 · (Edited)
My brain is still caught up on the phrase '7-year old infant' cuz in my opinion if you're seven years old you're not an infant anymore but a child. Needless to say the poor thing didn't have help in this situation :c - and to think that is happening to some one else right now D: the world is pretty twisted...
I like feedback dear one. Both postive and negative, I am always scanning for new improvements.

Improvement added changed* infant to child.

Initially seeing 7 year olds as baby like, not in a literal sense refered to them as infant, but alright, let's be literal. :)
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Also, btw, this story describes Munchhausen's Syndrome by Proxy (which my mother, the covert narcissist, also has, minus the "by proxy" which means she fakes her own illnesses). While narcissism and Munchhausen's are comorbid, they're far from the same thing.

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I like feedback dear one. Both postive and negative, I am always scanning for new improvements.

Improvement added changed* infant to child.

Initially seeing 7 year olds as baby like, not in a literal sense refered to them as infant, but alright, let's be literal. :)
well hey I mean a child is closer in age to an infant than a pre teen - I guess the semantics don't really matter here :U but hopefully we as a society in bringing these stories to light regardless how, we can maybe be more vigilant of our surroundings and read people/children better to know perhaps their behavior could be an indication they need help when they them selves unironically don't know the danger they are in until it's too late..

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Eminem was also a victim of a mother with Munchhausen's by Proxy. โ€œMy whole life I was made to believe I was sick when I wasn'tโ€ฆโ€ She sounds like she was potentially also a narcissist if the rest of the descriptions are any indication. Not admitting when wrong, etc.

Those who have gone through hard things like this will a lot of times end up being very strong-willed people. If it doesn't break them, it takes a lot to break through.

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My father is a malignant narcissist and my mother is a vulnerable (or covert) narcissist. You know what they look like? Not this Disney cartoon-like representation:
Omg are you stupid or something? Do you think OP is trying to say they literally look like demons? It's a metaphor. They act it. They will get called it. Demonic imagery will be used. Connect the dots.
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That poor little boy. :'( It hurts to think of all the suffering he had to go through. Not just physically but emotionally. I wonder if he thought he'd ever get better, and if he feared his mother or continued loving her into his death. How much he may have looked to her for comfort but she was the source of all his pain.

I know that people like this have something wrong with them, something like empathy or maturity never developing properly. But I also don't get how they live with themselves.
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