Dr. Insanity - A Detective Realizes The Nurse Is Actually The Killer
Episode Date: February 7, 2026This is a NEVER seen before interrogation case where Elizabeth Wettlaufer attempts, a former nurse. Confesses to killing multiple patients #truecrime #psychology Learn more about your ad choices. V...isit megaphone.fm/adchoices
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This is part, but I haven't told him to help her.
How about my injury?
I gave him a dose of 50 millograms of insulin, non-diabetic.
I believe he died the next day.
This was the moment detectives realized, 50-year-old Elizabeth Wetlauffer,
a seemingly innocent nurse was actually the secret cause for multiple deaths.
On the 11th of August, Jamie Silcox, a dementia patient,
was found dead in his bed at Carescent Care Nursing Home.
With an autopsy coming up with nothing, his death was ruled
as natural causes. But over the next few years, the same nursing home discovered patient after
patient had died under the exact same circumstances. For eight years, the cause was a complete mystery
to police and doctors alike until September 2016, when Elizabeth Wetlofer turned herself in
to reveal the horrifying truth behind these mysterious deaths. Liz turned herself in at a mental
health clinic who promptly contacted police. Hours later, Liz was brought into the interrogation
room.
So I just want to go through, like I said, a couple formalities, cover a few little things off.
If you wish to speak to a lawyer at any time, we can make it happen whenever you're like.
The interrogation starts with Liz being read her rights.
Liz has the right to a lawyer and the right to remain silent.
However, it's looking doubtful she'll be exercising either of these rights, as her detective
asks a few questions to get to know her.
Back at metal park, what was your addiction?
Hyderma.
And how much were you using?
I was a binge user, so I would use why I could get a hold of
by stealing it from the patients.
Liz worked as a nursing home worker and had access
to all her patients' medicine.
For years, Liz had been stealing a drug named hydromorphone,
a strong pain killer similar to the likes of morphine,
and using it secretly to deal with stress.
But it turns out addiction wasn't the only mental issue she was dealing with.
disorder and I was so angry and it was like a voice said inside me I'll use you don't worry about it.
Liz has struggled with borderline personality disorder for years and took medication to try and suppress it.
This meant she hadn't let it affect her much, at least not until 2007 where this would change
in a horrifying way. The detective then decides to ramp up the pressure and the interrogation quickly turns
from an interrogation to a confession.
Bill Cox. It says here you were working at double shift from 3-07, right?
3 p.m. to 7 a.m.
in Woodstock? Yes. Okay. And tell me about your knowledge of James and your daily
interaction during a shift with him. I didn't see him every time he wasn't always my patient.
I just knew from what people had said that he would grab the nurses,
and about spedics, and he would say horribly in a little things with his wife,
that now he was there, you know, just would say to her
experience, and he did touch me inappropriately once.
Jamie Silcox was an 84-year-old veteran with dementia
being cared for by Liz and the team.
But one evening, care would turn to carnage
as Liz began to fill with rage
and made a choice that would change the course of her life forever.
How about my surgery?
I gave him a dose of 50 milligrams of insulin,
not diabetic, and gave him an insulin shot.
Throughout the night he was yelling out, I love you, and I'm sorry.
Not to me, but just you can hear him falling out in this room, and that's what he was falling out.
And then at 3.30, the PSWs came to me and said that he was gone.
Doctor came in and said that his cause of death was from an ambulism due to his post-hipped.
He'd had a hit surgery.
Dr. Merle did an ambulance due to post-hip surgery.
Insulin overdoses occur when someone takes more insulin than they,
need, regardless of if they're diabetic or not. Too much insulin will dramatically lower
the body's blood sugar level, which can cause dizziness, loss of consciousness, and of course,
death. What's more concerning, though, is how difficult it can be to identify it as the cause
of death. And even in cases where it is identified, it's very difficult to prove it was an overdose
of insulin that caused it in the first place. This wasn't even the first time she'd attempted
this either. In 2007, she administered two other inordinate doses.
of insulin, but they failed to kill the patients. But while this was the first time she was successful,
it was far from the last. Moris. Now streaming on Paramount Plus, it began on the shores of New Jersey.
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That's what's his last name?
Granath.
Is it correct?
He was another one who liked to grab breasts and asses.
He was sometimes a patient of mine.
See, at that time, I wasn't, I didn't have a set floor that I worked on.
I worked on all the different floors of the nurse,
I was filling in.
So, uh, one afternoon I was nursing with him,
and he did grab me.
And again, I got that feeling inside that this is his time to go.
So I gave him an overdose with his insulin after supper.
And I believe he died the next day.
And what was his reaction to receiving his insulin?
Again, it was just kind of like, oh, okay.
And it said the doctor wants to have a vitamin shot.
That's what I usually say.
Liz had now begun to refine her method,
telling the victim it was just a vitamin shot
and had even hinted towards a motive.
And again, I got that feeling inside that this is just time to go.
Each time she thought about killing somebody,
she felt a deep, intense feeling in her stomach
that implied God wanted that person back
and that their time was up.
And the different times that I have caused people's deaths
or caused some discomfort through the influence.
I believe it was the influence of that,
voice or whatever it was. It was no voice in the head. It was the voice in here.
So, but yeah, I just have a sense after my marriage woke up that
God was going to use me for something. And then after a while, I started to really wonder
after some of the murders, if it was God or if it was the devil fooling me.
Did you feel that you're doing the right thing for these people?
No. No. I felt like I was doing what I was supposed to do, but it wasn't what was right for them.
Wow. People with BPD can often examine.
impulsive behavior and disturbed patterns of thinking, it's uncommon for patients to be
affected the way Liz was.
Many BPD patients may experience brief or prolonged episodes of strange experiences, such as hearing
voices and feeling compelled to harm themselves or others, but it's exceedingly rare
for them to act on them.
It's likely her behavior was owing more to the antisocial personality disorder she was
diagnosed with later on.
Those affected with ASPD are often observed to have a severe disregard for the law, and the
feelings of others. They also often find it harder to control their anger and refuse to let other
people stand in the way of their reckless behavior. Neither one of these conditions are solely responsible
for Liz's behavior. It was likely a combination of the two that planted the idea in her mind
and then allowed her to go through with it with little resistance. So, Gladys, we're going to take this
to November 2011 at Crescent Care. It says your Gladys was a type 2 diabetic.
and had dementia.
How old do you think Gladys was?
Ninety-two.
Okay.
Tell me a little bit about Gladys.
What did you feel?
What did you feel?
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She was walking and talking, and she had quite the spirit.
She went, because she told her, the nurse was telling one of the gentlemen,
no, you can't push your wife around, you have to come with us.
And she turned around and she said, you can't treat a woman like that.
Boom.
And hits a man.
And hit the man.
So then we're all in a stage of trying to keep them from fighting with each other
trying to keep them from hurry up.
Right.
Yeah, she was very funny.
But she went down, down how fast?
Did she?
Eventually, she had dementia, didn't take her pills well, didn't eat well, very stubborn woman.
And as always one evening, I just got that red-surging feeling that she was going to be the one.
And gave her insulin overdose.
Did you ever get that feeling outside of work?
of work? No, never. No? Did you ever get that feeling going to work knowing that something
was going to happen that shift? No, it's happening to work. So if I were used a phrase for the
moment, would it be something to just have that feeling come on? Yeah, I guess it could be
well for a moment, but it was, if you just start happening, you know, focused on one patient,
and then I feel that red surgeon, which is what made me think it was gone.
Which I'm so embarrassed.
not here to judge you, right?
I know.
Right.
One of the most strange things about Liz is how casual she is throughout the entire confession.
Not only is she happy to tell the detectives all the details she can remember about the murders themselves,
but also laughs and tells stories about the victims the entire time.
However, she also admits to feeling embarrassed about thinking the feeling was God,
showing that she feels as though she has a strong personal image to uphold,
but has a complete lack of remorse for her victims.
for her victims.
This thought process is indicative of a sociopath, but no personality test.
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Or analyses have ever reinforced this idea.
September or October 2007.
Yeah. And then Helen was 2011.
Yeah. How long I don't remember a lot about. She was very quiet, very determined.
It seemed to be waiting to die.
Again, I had that feeling that, you know, this is the one.
And I made a bit of a fuss about her that night because she was very lucid.
and we talked about how much she liked blueberry pie and ice cream.
Okay. So on my break I went to a home,
I got a small blueberry pie and ice cream and brought it to her and she ate three or four bites.
Yes. And then that night I overdosed her. Like I said, I had that feeling that it was
her time to go and...
What do you think about that? I didn't she was towards end of her life at that point?
No, that she was the person to go out.
Okay. And that was in your mind, in your stomach, where was that feeling?
in the chest area.
After I didn't know that laughter.
When would you feel that laughter?
Would you feel it right after you injected it or what's the person possibly?
Um, both.
Yeah.
Both.
As well as the feeling in her stomach before the murder,
Liz also mentions feeling as though there's laughing coming from her chest.
Given that it happens both as she's administering the dose and after she hears the victim is dead,
this feeling is likely just an exaggerated feeling,
of gratification from knowing that her job has been completed.
Psychopaths are thought to have a severe case of ASPD,
and studies have shown that psychopaths also have a much stronger reaction to immediate gratification.
This is what compels psychopaths to make more impulsive decisions,
as they value the reward more than an unaffected person.
And it's possible this just manifests in Liz as a more physical manner
than usual causing the almost euphoric laughing sense.
Just out of curiosity, how much insulin would it take to kill someone that wasn't a diabetic or?
I don't know.
You don't know that?
No.
You didn't know that as a nurse that this amount or?
No, there is no amount.
Okay.
I'm just, I just simply just don't know that answer.
Okay.
Different people would react differently to different amounts, is that fair to say?
Yes.
And would obviously make a difference if they were diabetic or not about that?
Yeah.
You don't think a lot of negative things about how you're, did you get along with there?
Did you get along with her okay?
Did she ever do anything to harm you or?
No, no, she was very quiet.
It was just, I got that feeling that she's an exit of time.
Liz had no problems with Helen and even went out of her way to get her favorite food before killing her.
This creates a strange dynamic where she obviously feels some form of remorse both before and after the murder,
but still goes through with it without hesitation.
But of course, the biggest show.
of remorse was when she decided
to turn herself in in the first place.
Something that's understandable
for a neurotypical person who's committed
maybe one or two crimes.
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But almost completely unheard of when it comes to serial killers who have operated over the span of multiple years.
She stated that she does understand the difference between right and wrong and never claimed to take pleasure from the murders,
saying that she felt terrible after every single one and even tried to reach out for help on a few occasions.
Does it feel like a weight off your shoulders?
Yes.
So you've been carrying a burden for quite some time.
And I've tried to get help.
Yeah.
Yeah.
Well, sometimes it takes a few attempts to finally commit to it, right?
Yeah, I had a pastor that I told me, prayed over me and told me I'd be fine.
And that was God's grace.
And then...
When was that?
That was Halloween, 2013.
And you kind of told us to what had happened to your...
To you, to that point you're like with people?
Yes.
Yeah.
And where was that?
That was here in town.
Liz then went on to confess to eight murders in total,
as well as attempting it on six more people.
Some within just days of each other.
She'd given into the urges for eight years in total,
all the while knowing what she did was wrong,
and frankly, disgusting.
It took her until 2016 to finally head to a mental health and addiction institute
to confess and write up the four-page documents the detective has been reading from.
Okay, we're going to wrap things up, but here's what's going to happen.
Okay.
And part of this is going to be up to you.
What are your plans going forward to here?
Going forward to here?
I want to go home.
I want to have a good night's sleep.
I want to send a Thanksgiving weekend with my family.
And I want to be available to the police that I intend to meet me.
And if I had to come out for trial, I have to come up for trial.
Unfortunately, Thanksgiving with her family is far from where she was...
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It's heading. Instead, she was formally charged with eight counts of murder, four counts of attempted murder, and two counts of aggravated assault.
In 2017, she waived her right to a preliminary hearing and confessed in court to all challenges.
On the 26th of June 2016, Elizabeth Wetlauffer was sentenced to eight consecutive life sentences.
Ensuring the only good night's sleep she'll be getting for the rest of her life will be behind bars.
