A major – if not the major – point of the conspiracists is that at least one shot was fired from in front of the Kennedy’s limousine, while Oswald was to its rear. This shot, they say, entered Kennedy’s throat below the Adam’s apple and blew out the right rear portion of his head while exiting. Most conspiracists deny that any of Oswald’s shots – or in the Douglass/Salandria version any of the shots of the Oswald impersonator in the TBD – hit Kennedy in the head. (Some believe the president was hit in the head simultaneously – and coincidentally – from the front and rear.)
The case for the frontal entry would begins in Parkland Hospital where Kennedy was brought following the shooting. According to Douglass, 21 of 22 doctors, nurses and Secret Servicemen present reported a portion of the right rear of the president’s skull was missing. (It is odd to see Secret Servicemen considered as reliable here, since Douglass earlier had named them as complicit in the assassination.) Bugliosi’s response is that most of the doctors attending Kennedy were interns and residents. (More experienced staff physicians were at a conference elsewhere.) Besides, six, whom he names and quotes, did not agree on a rear exit wound. And all were primarily concerned with saving the president’s life. They only worked on him for 22 minutes. What is more, a tracheotomy performed by Dr. Malcolm Perry had obliterated the throat wound making it difficult to assess. Finally, none of the 22 were pathologists, and studies show that, in cases of multiple gun shot wounds, trauma specialists err 74% of the time in assessing entrance and exit wounds.
Douglass’s case is bolstered by Dr. Perry’s statement to a press conference later that day that the throat wound “appeared to be an entrance wound…” He would later tell the HSCA he reached this conclusion because it was small. “I didn’t look for any others,” he said, “so that was just a guess.” Bugliosi accepts this, noting that no one at Parkland had turned the president over, so no one observed that a hole in his back aligned with the hole in his throat consistent with its being an exit wound. Douglass believes Dr. Perry was “manipulated” by the committee into this retraction. He also believes Perry was “under stress” because an ex-Secret Serviceman, Elmer Moore, has said he had been ordered to threaten Dr. Perry to get him to change his testimony. (Neither Bugliosi, McAdams, nor Posner mention Mr. Moore.)