“We lived together, we loved together, we die together.”
"The police said the family members were found lying in peaceful poses on beds and mattresses in the master bedroom of the Pauls' home in Chestnut Hill, a wealthy section of Philadelphia. Each had a tube leading from an arm to a bottle of intravenous solution, they said."
''We're absolutely in shock about this,'' he said, ''It's not the Anthony Paul we knew.''
"Some of Dr. Paul's colleagues at Fox Chase believe that he lived a very stressful life, but said that he had never sought help or shared his problems."
'I had him and his wife over for dinner once last year,'' he continued. ''He mentioned how he took care of his retarded daughter, a real big girl, bathing her and dressing her and everything. I was overwhelmed that he was dealing with that burden all by himself. But he had that stiff-uppper-lip, British training: You play the cards dealt to you; you don't complain; you don't whine.''
He added that Dr. Paul had only two concerns in life: his work and his family. ''There was never a sense that he was burned out; he was always very upbeat with the patients,'' he said."
"In stark contrast to Dr. Paul's plan in his final days to kill his family and himself, colleagues recalled indications that he had been thinking of the future. Dr. Ozols noted that he had recently presented his plans for research and patient treatment in the coming year."
"In his suicide note, Dr. Paul mentioned that his daughter suffered from asthma and he listed the medications that should be used to treat her should she survive."
"The doctor left a note that provided few details and few answers to help family and friends comprehend the incomprehensible."
In the letter, the 49-year-old physician said that there was no alternative to death for his wife, Malanie Desilva Paul, a 48-year-old psychiatrist who suffered from arthritis and depression, and their 17-year-old daughter, Medhini, who was severely retarded and helpless.
Dr. Paul wrote that he was not sparing his 12-year-old son, Anthony Rajiva, out of a fear that the boy would be placed in foster homes and would become a social ''misfit.''
'We lived together, we loved together, we die together,'' Dr. Paul wrote in a three-page, handwritten letter, enclosed in an envelope marked ''suicide note,'' according to colleagues who saw it."
https://www.nytimes.com/1990/07/19/us/no-hope-doctor-ends-family-s-lives.html