Dr. Ian McVay was the man who performed Charlotte Malkin's autopsy and discovered that she was alive, through what was being described as a "miracle". Dr. McVay was met with by Mr. Eko who arrived to investigate the occurrence. Dr. McVay informed Eko that he had discovered that she was alive during the autopsy, and played the recording from the autopsy as proof for Eko. he then told him he could keep the tape, claiming that he never wanted to hear it again.