Updated

During "pillow talk," a mistress of a former Utah doctor on trial in the death of his wife testified that he once explained to her how someone could be induced to have a heart attack that would seem natural

Anna Walthall quoted Martin MacNeill as saying, "'There's something you can give someone that's natural that's a heart attack that's not detectable after they have a heart attack.'"

During her testimony Wednesday, Walthall said that she began a six-month affair with MacNeill in 2005 when he was a consulting doctor at a laser hair removal clinic that she operated.

She said that MacNeill described the heart attack method during "pillow talk."

The trial continues Thursday with testimony expected from the medical examiner who said the cause of death for Michele MacNeill was undetermined.

Defense lawyers have argued that she had a heart attack and fell into a bathtub in April 2007 in the family home in Pleasant Grove, about 35 miles south of Salt Lake City.

Defense lawyers challenged Walthall by getting her to acknowledge she had been diagnosed with what was formerly called multiple personality disorder, but she insisted she was giving a true account of Martin MacNeill's statement.

Earlier in the day, two daughters of the MacNeills testified that their father had hired another mistress, Gypsy Willis, as a nanny soon after his wife died, but Willis did not cook or take care of the children and went to their father's bedroom at night.

Sabrina MacNeill, 19, testified that Willis didn't do anything a nanny would be expected to do.

"She made spaghetti once, and that was the only time she cooked," said Sabrina MacNeill. "She didn't do anything."

Another daughter, Alexis Somers, testified that Willis would come and go throughout the day, seemingly more focused on the doctor than the children.

Prosecutors say Martin MacNeill, 57, hounded his wife, Michele MacNeill, to get cosmetic surgery then knocked her out with painkillers and left her to die in a bathtub. His motive, they said, was to get rid of his wife so he could be with Willis.

Somers testified that her father bullied her mother to get the face-lift and insisted the plastic surgeon prescribe an unusual combination of painkillers and other drugs for her recovery.

Two days after the surgery, Somers said, she confronted her father after finding her mother knocked out by the powerful drugs.

Somers, also a doctor, recalled her father saying, "'I must have given her too much medicine.'"

Michele MacNeill had tried to delay the surgery until she could reduce her high blood pressure and weight and to wait until her daughter could help take care of her, Somers said.

Somers, who has adopted her mother's maiden name, described an argument between her parents about the timing of the surgery.

"He got angry at my mom and said, 'If you don't have the surgery now, you're not getting it,'" Somers testified.