The Philadelphia Medical Examiner’s Office has concluded its review of the 2011 death of Pennsylvania teacher Ellen Greenberg, reaffirming that her death was a suicide.

According to People Magazine, the decision came before a court hearing scheduled at the Philadelphia Common Pleas Court on October 14.

As reported by the Philadelphia Inquirer, Philadelphia’s Chief Medical Examiner Lindsay Simon identified 20 new bruises and three additional skin perforations on Ellen during the re-assessment.

Despite these findings, Simon maintained the suicide ruling, providing detailed reasoning in a 32-page document. She noted Ellen’s anxiety over starting her role as a first-grade teacher, mentioning that Ellen “had previously granted generous grades to her students.”

Simon remarked, “Though her recent medication adjustments had aided with her anxiety-related insomnia, she unfortunately did not live long enough to manage her anxiety issues fully.”

“Thus, she had an increase in energy to act on her anxious thoughts.”

Since their daughter’s passing, Dr. Josh and Sandee Greenberg have been embroiled in legal battles to alter the stated cause of death.

They argue that the medical examiner’s office is concealing evidence indicative of a homicide and have pursued legal action to change her death certificate from “suicide” to either “homicide” or “undetermined.”

The medical examiner’s re-examination came after the Greenburg couple settled two lawsuits against city officials. As part of the settlement, the Philadelphia Medical Examiner’s Office agreed to review Ellen’s initial autopsy.

The findings were handed over to the Greenberg couple’s lawyer, Joseph Podraza Jr., Friday afternoon.

“The whole thing was bogus,” Joshua Greenberg reportedly said. “I expected the city to do this. Her synopsis doesn’t change a darn thing. Philadelphia will do everything they can to prove their point.”

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As CrimeOnline previously reported, Ellen was found deceased in her Manayunk apartment in 2011. Greenberg’s fiancé, Sam Goldberg, said he left for the gym while Ellen chopped up fruit in the kitchen.

He returned home to find the front door locked, with the swing lock attached to the inside side of the door.

Goldberg said he called and texted Ellen numerous times, but when he couldn’t get an answer and couldn’t get help from the apartment management, he broke the lock and walked inside.

Inside the apartment, Ellen was found slumped over in the kitchen, with “some of her upper body/shoulders resting against the lower half of the white kitchen cabinets.”

Goldberg has not been named a suspect in the case.

Several inconsistencies and irregularities have surfaced with forensics in the case, including how Ellen could have managed to stab four inches into her chest after stabbing herself multiple times.

Ten of the stab wounds were to the back of her neck, one stab wound was to the back of her scalp, another wound was on her stomach, and eight wounds were found on her chest.

Further, Ellen was left-handed, but the knife was held with her right hand, according to the autopsy report.

A forensic examination indicated that Ellen also had two sharp force injuries that lacked bleeding, meaning the wounds could have been inflicted after her death.

Neuropathologist Lyndsey Emery, who was hired by the city of Philadelphia to evaluate Ellen’s spinal cord, told Ellen’s family attorney that Ellen had no hemorrhaging, as it strongly suggests she did not have a pulse when she was stabbed.

She concluded that at least one of the 20 stab wounds on Greenberg occurred postmortem.

“That didn’t surprise me as much as when I turned to reading the substance of this alleged report,” Podraza said.

“Overall, I think it’s a product that’s disingenuous and really constitutes tripe.”

To learn more about Ellen Greenberg and the case, visit the “Justice for Ellen” Facebook page. You can also sign the “Justice for Ellen Rae Greenberg” petition on Change.org.

Check back for updates.

[Feature Photo: Ellen Greenberg/Family Handout]