 Rather than passing out, patients injected with muscle relaxants would be paralysed, unable to breathe but totally conscious.Other medical experts pointed out that the likely cause of death in the case of Mr Onley, a gravely-ill patient whom Geen was found to have murdered, was not a heart attack triggered by respiratory arrest but liver failure caused by the patient's alcoholism, unknown to the hospital when he was admitted.Mark McDonald, founder and chair of the London Innocence Project, has stated that he believes the case against Geen was manufactured to fit the circumstances.