Tennessee man noted intense pain during lethal injection without deactivating defibrillator

NASHVILLE, Tenn. (AP) — A man convicted of killing his girlfriend and her two young daughters in the 1980s said he was “hurting so bad” while he was given a lethal injection Tuesday in Tennessee, where authorities had refused to deactivate his implanted defibrillator despite claims it might cause unnecessary, painful shocks as the drugs were administered.

Black's attorney said they will review data kept by the device as part of an autopsy.

Black died at 10:43 a.m., prison officials said. It was about 10 minutes after the execution started and Black talked about being in pain.

Asked for any last words, he replied, “No sir.”

Black looked around the room as the execution started, lifting his head off the gurney multiple times, and could be heard sighing and breathing heavily. All seven media witnesses to the execution agreed he appeared to be in discomfort. Throughout the execution, a spiritual adviser prayed and sang over Black, at one point touching his face.

“Oh, it's hurting so bad," Black said, as he lay with his hands and chest restrained to the gurney, a sheet covering up past his lower half, and an IV line in his arm.

“I'm so sorry. Just listen to my voice,” the adviser responded.

Black was executed after a back-and-forth in court over whether officials would need to turn off his implantable cardioverter-defibrillator, or ICD. Black, 69, was in a wheelchair, suffering from dementia, brain damage, kidney failure, congestive heart failure and other conditions, his attorneys have said.

The nonprofit Death Penalty Information Center said it’s unaware of any other cases with similar claims to Black’s about ICDs or pacemakers. Black’s attorneys said they haven’t found a comparable case, either.

Black was convicted in the 1988 shooting deaths of his girlfriend Angela Clay, 29, and her two daughters, Latoya Clay, 9, and Lakeisha Clay, 6. Prosecutors said he was in a jealous rage when he shot the three at their home. At the time, Black was on work-release while serving time for shooting Clay’s estranged husband.

Clay's sister said Black will now face a higher power.

“His family is now going through the same thing we went through 37 years ago. I can't say I’m sorry because we never got an apology," Linette Bell, Angela Clay's sister, said in a statement read by a victim's advocate after the execution.

Black's lawyer said the execution was shameful.

“Today, the state of Tennessee killed a gentle, kind, fragile, intellectually disabled man in a violation of the laws of our country simply because they could," attorney Kelley Henry said.

In mid-July, a trial court judge agreed with Black’s attorneys that officials must have the defibrillator deactivated to avert the risk that it could cause unnecessary pain and prolong the execution. But Tennessee's Supreme Court overturned that decision Thursday, saying the other judge lacked authority to order the change.

The state disputed that the lethal injection would cause Black’s defibrillator to shock him and said he wouldn’t feel them regardless.

Henry said Black's defense team will carefully review autopsy results, EKG data from Black and information from the defibrillator to determine what exactly happened during the execution. The lethal injection protocol is still being challenged in court.

She said she was especially concerned about his head movement and complaints of pain because the massive dose of pentobarbital used to kill inmates is supposed to rapidly leave them unconscious.

“The fact that he was able to raise his head several times and express pain tells you that the pentobarbital was not acting the way the state's experts claim it acts,” Henry said.

Prison officials did not comment on witnesses and Black’s attorney saying he appeared conscious or his complaints of pain.

It was Tennessee’s second execution since May, after a pause for five years, first because of COVID-19 and then because of missteps by state corrections officials.

Twenty-eight men have died by court-ordered execution so far this year in the U.S., and nine other people are scheduled to be put to death in seven states during the remainder of 2025. The number of executions this year exceeds the 25 carried out last year and in 2018. It is the highest total since 2015, when 28 people were put to death.

Black had an implantable cardioverter-defibrillator, which is a small, battery-powered electronic device that is surgically implanted in the chest. It served as a pacemaker and an emergency defibrillator. Black’s attorneys have said a doctor can send it a deactivation command without surgery.

The legal case also spurred a reminder that most medical professionals consider participation in executions a violation of health care ethics.

In recent years, Black's legal team has unsuccessfully tried to get a new hearing about an intellectual disability they say he's exhibited since childhood. People with intellectual disabilities are constitutionally barred from execution.

His attorneys have said that if they had delayed a prior attempt to seek his intellectual disability claim, he would have been spared under a 2021 state law. That is because the 2021 law denies a hearing to people on death row who have already filed a similar request and a court has ruled on it “on the merits."

A judge denied Nashville District Attorney Glenn Funk's attempt to get Black a new hearing. Funk focused on input from an expert for the state in 2004 who determined back then that Black didn’t meet the criteria for what was then called "mental retardation.” But she concluded that Black met the new law’s criteria for a diagnosis of intellectual disability.

Jeffrey Collins in Columbia, South Carolina, contributed to this story.

Relatives of the victims of convicted murderer Byron Black stay in the area reserved for pro-death penalty advocates outside Riverbend Maximum Security Institution before the execution of Black, Tuesday, Aug. 5, 2025, in Nashville, Tenn. (AP Photo/Mark Humphrey)

Anti-death penalty demonstrators gather outside Riverbend Maximum Security Institution before the execution of Byron Black Tuesday, Aug. 5, 2025, in Nashville, Tenn. (AP Photo/Mark Humphrey)

Relatives of victims of convicted murderer Byron Black are escorted from the Administration Building at Riverbend Maximum Security Institution after the execution of Black, Tuesday, Aug. 5, 2025, in Nashville, Tenn. (AP Photo/Mark Humphrey)

Rev. Ingrid McIntyre stands in the area reserved for anti-death penalty protesters as security guards ride past outside Riverbend Maximum Security Institution before the execution of Byron Black Tuesday, Aug. 5, 2025, in Nashville, Tenn. (AP Photo/Mark Humphrey)

Tennessee Department of Correction Commissioner Frank Strada reads a statement as relatives of victims of convicted murderer Byron Black listen outside Riverbend Maximum Security Institution after the execution of Byron Black, Tuesday, Aug. 5, 2025, in Nashville, Tenn. (AP Photo/Mark Humphrey)

India Pungarcher, left, hugs Rev. Ingrid McIntyre as demonstrators gather in the area reserved for anti-death penalty protesters outside Riverbend Maximum Security Institution before the execution of Byron Black Tuesday, Aug. 5, 2025, in Nashville, Tenn. (AP Photo/Mark Humphrey)

Necoule Davis, left, and Sharonda Page, both cousins of victims of convicted murderer Byron Black, wait outside Riverbend Maximum Security Institution before the execution of Black, Tuesday, Aug. 5, 2025, in Nashville, Tenn. (AP Photo/Mark Humphrey)

Relatives of the victims of convicted murderer Byron Black stay in the area reserved for pro-death penalty advocates outside Riverbend Maximum Security Institution before the execution of Black, Tuesday, Aug. 5, 2025, in Nashville, Tenn. (AP Photo/Mark Humphrey)

Sharonda Page, left, a cousin of the victims of convicted murderer Byron Black, waits with other relatives of the victims in the area reserved for pro-death penalty advocates outside Riverbend Maximum Security Institution before the execution of Black, Tuesday, Aug. 5, 2025, in Nashville, Tenn. (AP Photo/Mark Humphrey)

FILE - This undated booking photo provided by the Tennessee Department of Corrections shows Byron Black. (Tennessee Department of Corrections via AP, File)

SURIN, Thailand (AP) — Fighting continued to rage Saturday morning along the border of Thailand and Cambodia, even after U.S. President Donald Trump, acting as a mediator, declared that he had won agreement from both countries for a ceasefire.

Thai officials have said they did not agree to a ceasefire, and Cambodia has not commented on Trump’s claim. Its defense ministry instead said Thai jets carried out airstrikes Saturday morning. Cambodian media reported Trump’s claim without elaborating.

The latest large-scale fighting was set off by a skirmish on Dec. 7 that wounded two Thai soldiers and derailed a ceasefire promoted by Trump that ended five days of earlier combat in July over longstanding territorial disputes.

The July ceasefire was brokered by Malaysia and pushed through by pressure from Trump, who threatened to withhold trade privileges unless Thailand and Cambodia agreed. It was formalized in more detail in October at a regional meeting in Malaysia that Trump attended.

About two dozen people have officially been reported killed in this past week’s fighting, while hundreds of thousands have been displaced on both sides of the border.

The Thai military acknowledges 11 of its troops have been killed, while estimating there have been 165 fatalities among Cambodian soldiers. Cambodia has not announced military casualties, but has said at least 11 civilians have been killed and 76 wounded.

Trump on Friday, after speaking to Thai Prime Minister Anutin Charnvirakul and Cambodian Prime Minister Hun Manet, had announced an agreement to restart the ceasefire.

“They have agreed to CEASE all shooting effective this evening, and go back to the original Peace Accord made with me, and them, with the help of the Great Prime Minister of Malaysia, Anwar Ibrahim,” Trump said in his Truth Social post.

Trump’s claim came after midnight in Bangkok. Thai Prime Minister Anutin had after his call with Trump said he had explained Thailand’s reasons for fighting and said peace would depend on Cambodia ceasing its attacks first. The Thai foreign ministry later explicitly disputed Trump’s claim that a ceasefire had been reached. Anutin's busy day on Friday including dissolving Parliament so new elections could be held early next year.

Cambodian Prime Minister Hun Manet, in comments posted early Saturday morning, also made no mention of a ceasefire.

He said he held phone conversations on Friday night with Trump, and a night earlier with Malaysia’s Prime Minister Anwar Ibrahim, and thanked both “for their continuous efforts to achieve a long-lasting peace between Cambodia and Thailand.”

“Cambodia is ready to cooperate in any way that is needed,' Hun Manet wrote.

Thailand has been carrying out airstrikes on what it says are strictly military targets, while Cambodia has been firing thousands of medium-range BM-21 rockets that have caused havoc but relatively few casualties.

BM-21 rocket launchers can fire up to 40 rockets at a time with a range of 30-40 kilometers (19-25 miles). These rockets cannot be precisely targeted and have landed largely in areas from where most people have already been evacuated.

However, the Thai army announced Saturday that BM-21 rockets had hit a civilian area in Sisaket province, seriously injuring two civilians who had heard warning sirens and had been running toward a bunker for safety.

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Peck reported from Bangkok. Sopheng Cheang in Serei Saophoan, Cambodia, and Matthew Lee in Washington contributed to this report.

An evacuee tastes soup as she takes refuge in Banteay Menchey provincial town, Cambodia, Saturday, Dec. 13, 2025, after fleeing from home following fighting between Thailand and Cambodia. (AP Photo/Heng Sinith)

Evacuees cook food as they take refuge in Banteay Menchey provincial town, Cambodia, Saturday, Dec. 13, 2025, after fleeing homes following fighting between Thailand and Cambodia. (AP Photo/Heng Sinith)

Children raise their hands while receiving donation from charity as they take refuge in Banteay Menchey provincial town, Cambodia, Saturday, Dec. 13, 2025, after fleeing homes following fighting between Thailand and Cambodia. (AP Photo/Heng Sinith)

Evacuees wait to receive donation from local charity as they take refuge in Banteay Menchey provincial town, Cambodia, Saturday, Dec. 13, 2025, after fleeing homes following fighting between Thailand and Cambodia. (AP Photo/Heng Sinith)

Village security volunteers and resident run into shelter while the blasts sounded too close in Buriram province, Thailand, Friday, Dec. 12, 2025, following renewed border conflict between Thailand and Cambodia. (AP Photo/Sakchai Lalit)