Anthony Garcia appears unresponsive at the Douglas County Court in Omaha, Neb., Friday, Sept. 14, 2018. Garcia, a former doctor, was convicted in the revenge killings of four people connected to the Creighton University School of Medicine, and has been sentenced by a three-judge panel to death. The first victims were the son and housekeeper of a faculty member at Creighton University School of Medicine in Omaha. Garcia also was found guilty in the 2013 deaths of another Creighton pathology doctor and his wife. (Kent Sievers/Omaha World-Herald via AP, Pool), APTOPIX