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THE WRONG DIAGNOSIS

Child Abuse: Blood Lies

April 26, 2011

BACKGROUND:

Child abuse is the physical, sexual or emotional mistreatment or neglect of a child. In the United States alone, there are more than three million reported cases of child abuse every year. However, Dr. Michael Laposata believes up to one in every hundred child abuse cases could actually be misdiagnosed. An incorrect diagnosis of child abuse can occur in children suffering minor accidental trauma who also have undiagnosed bleeding disorders. (SOURCE: National Institute of Health)

THE WRONG DIAGNOSIS:

Steve Smith was charged with child abuse after his infant was wrongly diagnosed with Shaken Baby Syndrome (SBS). SBS is a form of inflicted head trauma that occurs when someone violently shakes a baby or small child. SBS is often fatal and can cause severe brain damage that could result in lifelong disability. Up to half of deaths related to child abuse are reportedly due to SBS. The injuries associated with SBS include retinal hemorrhages, multiple fractures of the long bones, and bleeding in the brain. (SOURCE: www.kidshealth.org)

THE REAL DIAGNOSIS:

Steve’s baby was later diagnosed with Von Willebrand disease (VWD), which is a bleeding disorder. According to the National Heart Lung and Blood Institute, VWD affects the blood’s ability to clot. If your blood doesn’t clot, you can experience heavy bleeding after an injury. As a result, that aforementioned bleeding can damage your internal organs. In addition, in some rare cases – it can cause death. With VWD, you either have low levels of a certain protein in your blood, or the protein doesn’t work the way it is supposed to. VWD occurs in about 1 out of every 100 to 1,000 people. The disease is genetic and can be inherited from either parent. In fact, a man or woman with VWD has a 50 percent chance of passing the gene on to his or her child.

ABOUT THE DOCTOR:

Dr. Michael Laposata is the executive vice chairman for the Department of Pathology at Vanderbilt University Hospital and the director of clinical laboratories. Dr. Laposata’s clinical expertise is in the field of blood coagulation, with a special expertise in the diagnosis of hypercoagulable states. (SOURCE: American Association for Clinical Chemistry)

See source for televised interview with Dr. Laposata.

Source:

http://www.wftv.com/health/27673460/detail.html

Categories: THE WRONG DIAGNOSIS

Stolen Families Due To SBS Theory

Child Protection stole Christmas from families around the world with SBS accusations

Christina England
December 30, 2009

Christmas time is a time for families and a time for children but sadly many families this year faced a Christmas without their children because child protection agencies and paediatricians misdiagnosed very real conditions, opting instead to accuse parents of shaking their babies. As a result many families could not join in the seasons festivities with the children they love, they could not buy them presents or prepare their Christmas stockings and some were left with no idea where their children were or even who they were with. One such family is Zabeth and Paul Baynes, their children were removed from their care on October 22, 2007 after they say they were falsely accused of Shaken Baby Syndrome.

Their story began after their baby daughter of just a few weeks old, lay on the floor on a blanket, her two year old brother came running along, tripped and fell, landing on her, banging her head with his. The baby showed no visible injuries at the time but just to be safe Zabeth and Paul had her checked by their GP who also found no apparent injury. A few days later however, she vomited after a feed and gasping for air she suddenly became listless, her parents rushed her to emergency giving her CPR on the way. Despite the need for emergency resuscitation on route the hospital were dismissive and Zabeth and Paul were surprised when, after initially hooking her up to oxygen she was given a brief examination and sent home as the hospital said that they were not equipped to treat infants. No further tests took place at the time.

Over the next few weeks the infant was repeatedly taken to the hospital, Zabeth was worried as she remained dazed and began refusing her feeds. Eventually she was transferred to another hospital where she was diagnosed with anaemia and reflux and began medication. This medication included Domperidone, Ranitidine and at one point Diazepan, it should be noted that Zabeth was also taking Domperidone to stimulate breast milk. Over the next few weeks the babies vomiting became worse and she became weaker. Zabeth also noticed that she began to have fit like episodes. On the 6th October a CT scan was requested due to the swelling of her head, however, due to sickness of the technician this could not be done for another 12 days, eventually some weeks after her initial injury had taken place a CT scan finanlly revealed subdural haemorrhaging. As soon as a bleed was identified, instead of the facts of this case being examined in detail, Dr. Colbourne a child protection doctor was brought in and accused Zabeth and Paul of shaking their little girl in a fit of rage, an accusation this couple have always refuted.

So lets examine the facts.

It took a total of 22 days from the first visit to a hospital for this vital CT scan to take place despite swelling to the head being noted. This child had endured several episodes where she stopped breathing and at one point she flat lined altogether, this is an obvious sign that all is not well, she visited a total of four hospitals, was seen by eight doctors which included the GP, she had been given a combination of various drugs including Domperidone a drug known to be dangerous and a drug that her mother was also on.

Zabeth said

“There were many other visits that I have lost track of. We went many times to the Hope Clinic, went to the Public Health Department, called the 24 Hour Nurse Helpline and also went to office visits to Dr. Sorial and Dr. Ebesch. There were also more visits to the Fraser Valley Emergency as she would not stop vomiting and the nurse helpline advised me to go back. I was always sent home.”

Immediately after the accusation of child abuse their two boys were placed in the care of their grandparents, even though both boys were reported to be healthy. Due to the couple making a TV appearance they were then abruptly removed from their grandparents care in the middle of their sons third birthday party which caused two very young children a great deal of unnecessary distress and trauma.

“They told us to pass the children to their arms, while our children were reaching out to us to come back out of these strangers arms. They were shoeless, coatless and they did not wait for any of their supplies like training diapers, clothes, stuffy toys, etc.

My screams had caught our neighbors ears and they were standing outside their homes looking at what was happening. I cried so hard my nose was bleeding.” Zabeth said.

What stands out about this case is not only was a highly potent cocktail of drugs including the highly controversial drug Domperidone given to this sick baby but that no one even noticed that Zabeth had also been prescribed Domperidone at the time for the stimulation of breast milk and that this would drastically alter the intake of Domperidone that this small baby was taking, it beggars belief that this major fact was totally overlooked and instead this family was accused of shaking this child so violently that it caused severe bleeding in the brain and behind her eyes.

Another very interesting fact is that this is not the only case where Domeridone has featured and parents have been falsely accused of injuring their children.

English case paves way for woman to appeal salt death-bid

Ordeal of innocent mother in salt baby death investigation | Mail

In fact in the USA Domperidone has been banned completely for mothers breastfeeding because it has been found to be unsafe, the FDA also have chosen against its use for gastric conditions. In 2004 in the paper FDA Warns Against Women Using Unapproved Drug, Domperidone, to Increase Milk Production the FDA said :-

“Although domperidone is approved in several countries outside the U.S. to treat certain gastric disorders, it is not approved in any country, including the U.S., for enhancing breast milk production in lactating women and is also not approved in the U.S. for any indication.”

Another major fact not picked up until this child was in care was that she had the genetic condition Glutaric Acidemia. This was innocently divulged by one of the other children’s foster carers to the mother, although this diagnoses has since been denied by the MCFD or Ministry of Children and Family Development . It is easy to see why it may be denied because it would be crucial to the Baynes defence, this is because it has been repeatedly reported that some individuals with Glutaric Acidemia have developed bleeding in the brain or eyes that could be mistaken for the effects of child abuse.

Med Pedia – Glutaric Acidemia Type reports the following:-

“Glutaric Acidemia type I is an inherited disorder in which the body is unable to process certain proteins properly. People with this disorder have inadequate levels of an enzyme that helps break down the amino acids lysine, hydroxylysine, and tryptophan, which are building blocks of protein. Excessive levels of these amino acids and their intermediate breakdown products can accumulate and cause damage to the brain, particularly the basal ganglia, which are regions that help control movement. Mental retardation may also occur.

Some babies with glutaric acidemia type I are born with unusually large heads (macrocephaly). Affected individuals may have difficulty moving and may experience spasms, jerking, rigidity, or decreased muscle tone. Some individuals with glutaric acidemia have developed bleeding in the brain or eyes that could be mistaken for the effects of child abuse. Strict dietary control may help limit progression of the neurological damage. Stress caused by infection, fever or other demands on the body may lead to worsening of the signs and symptoms, with only partial recovery.”

Sadly, instead of receiving the treatment that this vulnerable and ill baby needed in foster care, and despite the fact she was ill and continuing to vomit despite being removed from her parents this baby was given yet another cocktail of lethal chemicals, this time in the form of her routine vaccines.

Zabeth said:-

“We were told she was sick, but that she was scheduled to have her vaccinations that day. Both my father and I called the social worker trying to get them to stop the vaccinations. She was vomiting and had even been taken to the hospital the night before due to fever and vomiting.

They called late that night to tell us that the vaccines had been done anyways and that they gave her Tylenol. They promoted the caregiver and told us that they thought she was a medically fragile baby.

On Nov 9, 2007 the social worker called to tell us that she was bleeding still behind the left eye. I don’t know if this was true or not. I do know that she has been constantly sick while in care.”

I am not a medical professional but common sense tells me that something in this case does not add up. Here is an obviously sick child, who not only has had a lethal mixture of medications in her short life but has a genetic illness which has according to her family been left untreated, then whilst in care an environment meant to protect her she is vaccinated with a combination of vaccines which according to a growing number of physicians are also known to cause bleeding in the brain as seen in the on Shaken Baby Syndrome the Vaccination Link Were these vaccinations so important they could not wait until this little girl was stronger?

Ten leading professionals agree and all have written reports saying that in their professional opinion this baby was not a victim of child abuse.

In a lengthy report Dr Peter J Stephens M.D Board certified in Anatomic, Clinical and Forensic Pathology summarized:-

“In summary I see no evidence whatsoever of any intentionally inflicted injury.”

Dr Harry J Bonnell M.D Pathology says:-

“I agree with the comments made by Dr John Plunkett and opine that the findings are totally consistent with the history of accidental injury. To say anything more would be repetitively verbose: suffice it to say that there is no evidence of abuse in the manner in which these injuries were suffered.”

So why is this family, who have no less than ten full medical reports written by some of the top SBS experts in the world, including Dr Michael Innis and Dr Horrace B Gardner stating that in their opinion there is no evidence to support that this case is a case of child abuse, still being hounded and why are their three children still in care? Could it be that the hospital that diagnosed this as a SBS case have a massive conflict of interest? It has since materialised that at the same time as this case came to light that this hospital received $1.4 million of government money in an education and prevention program that will give every new parent in B.C. resources and information to better understand inconsolable crying in infants and help lower the incidence of Shaken Baby Syndrome, Children and Family Development. It has now been revealed that are they involved very heavily in a programme with specialists from around the world including UK’s very own Prof Roy Meadows, an expert who has been proven to get it wrong time and time again Great Britain and who has been found guilty of sending innocent parents to prison.

Prof Meadow has appeared as an expert witness for the prosecution in several trials. His evidence has seen many mothers go to jail for murder of their babies. The General Medical Council (GMC) struck off Meadow after he was found to have offered “erroneous” and “misleading” evidence in the Sally Clark case. Clark was a lawyer wrongly convicted in 1999 of the murder of her two baby sons, largely on the basis of Meadow’s evidence; her conviction was quashed in 2003 after she had spent three years in jail. In 2006 an appeal court reversed the decision on Meadow and the GMC reinstated him.

It has also been revealed that the child protection doctor that the hospital brought in, who should have been impartial had lectured worldwide on Shaken Baby Syndrome at some very impressive conferences along with others involved in this case. This surely shows that this doctor was not impartial and had possible conflicts of interest.

In two weeks from now this case goes to court. So far reports from experts have been ignored and good character witnesses have also been ignored and this has resulted in this family being torn apart for not just one Christmas but two. This time let justice be done and the truth be seen, there is a strong possibility that this was not a case of Shaken Baby syndrome and any number of other causes could so easily have led to this babies head trauma.

Zabeth says:-

“We feel heartbroken daily as we wake up in the morning. We no longer feel a little hand pushing our shoulders to wake up. We no longer have a tiny one crawling into bed with us to wrap our arms around. We have no one to make breakfast for and to dress in the morning. We pass by empty rooms and toys placed neatly around the room. We long for the sound of children laughing, crying and running around the home. We long to have toys to clean up, eyes to dry, times of sharing the good and the bad life brings. We long for the privilege to care for our children and to bring them the security of a loving and caring home, where they feel unconditionally loved by both of their parents and extended family. We long for the opportunity to have our rights restored that belong to so many other families to raise their children with their own values, ethics and religious beliefs.

Our thoughts are constantly with our dear children and our hearts will always mourn them until they are returned.

We also however feel the sting of being falsely accused. We abhor child abuse and to live under the blanket of that title is one that brings such humiliation. We are seen as guilty and have not had the opportunity to defend ourselves in court. We have endured the disregard of the protection of our rights and our children’s rights under the Act and are frustrated with the disrespect seen here regarding the Law. We have been horrified to learn that it is not about what is the best interests of the children, but rather making a case and when the facts don’t stand then the manipulation and introduction of false information to try to make the case. We have been appalled by the lack of care from the government regarding the conditions our children must do visitations with us in and other issues regarding our children’s safety and well being in care. We have been disappointed in the governments one track focus on making a case around a medical misdiagnosis and not seeking further medical opinion, instead of looking at the possibility of the ten experts reports we submitted that support the accident that occurred. It is hard to be branded as guilty of such a horrific crime and are in fact innocent.

This case does not seem to be mindful of the truth, ethical practices, justice, the welfare of our children or justice. We pray that in a legal system where so many innocent people slip through the cracks our family does not wind up another statistic. Daily the tears flow. We weep after visitations. We cry as we hear of the problems our children have in care and our hearts break as we hear their pleas to come home.

After you have children. there is no life without them. They are your very heart and soul and life is devoted to their needs, welfare and complete unconditional undying love.

Yesterday when we had to put our children back in the drivers van to take them away our son ***** pulled Daddy to the back of the van and whispered. “Daddy do I have to go in her van again. When can I come home?” Daddy told him that it would be soon…..In the van as I hugged them goodbye I said in three more sleeps we will see you again. He kicked his feet and said yeah in three sleeps I can come home. Sadly I told him no we would only be visiting, but we see the king (judge) in I think sixteen sleeps and we are asking him to have you come home. Our children are praying too.”

To prove a case of abuse, there has to be proof that goes beyond all reasonable doubt that abuse took place. There are several sound possibilities as to why this baby had subdural haemorrhaging, ranging from her brother falling on her, a genetic condition, Hypoxia from an Apparent Life Threatening event causing subdural and retinal haemorrhages (as mentioned in report from Dr Michael Innis) through to the possible overdose of Domperidone and poor medical care from the hospital.For a guilty verdict the court will have to disprove ten reports from leading experts and prove this couple shook this baby so hard that they caused her brain to bleed.

I would like to thank Zabeth and Paul for giving me their permission to highlight this case and wish them all the best in their court case. May God Bless you all.

I would also like to congratulate Mike and Elizabeth Bruce, a case I highlighted some months ago and who I featured in my webinar in October, this family were reunited just before Christmas, when Dalton their beautiful son was returned home to them. Daltons return was down to the dedication and love of his devoted family and especially Mike his father who researched over many months to uncover the truth of what happened to Cameron, Daltons twin brother who sadly died aged two months.

Source:
http://www.americanchronicle.com/articles/view/134552

Misdiagnosis Of Shaken Baby Syndrome

Misdiagnosis of SBS 22 March 2002
Michael D Innis,
Director Medisets International

Misdiagnosis of “Shaken Baby Syndrome”

Editor,

Two parents, one in the United Kingdom and the other in the United States, are currently serving prison terms of life sentences for the alleged murder of their infants. Both were convicted mainly on the evidence of Forensic Pathologists. In Australia, the slogan “Think Dirty” adopted by some, is what sent Lindy Chamberlain to prison when her baby was taken by a dingo. Unfortunately that slogan has again surfaced is some jurisdictions.

Chief among the findings causing suspicion of violence is the so called “rib fracture”. Pathologists who did the autopsies on the American and British children, on finding a callus on a rib immediately concluded it was a healing fracture – and hence evidence of physical abuse. No thought was given to the possibility that it could be a healing subperiosteal haematoma resulting from a coagulopathy.

Two parents are now victims of this Medical Jurisprudence.

Consider the case of REGINA v SALLY CLARK referred to by Professor Meadow (BMJ 2002;324:41-43). The “injuries” as they were called, which included a callus on the 2nd left rib, were all consistent with the delayed or late form of Haemorrhagic Disease of the Newborn (HDN) notwithstanding the claim of many of the experts that “no natural disease” could account for the lesions observed in and on the child(Harry Clark’s) body.

Any subperiosteal haemorrhage, whether by a blow to the chest, or by a disorder of the coagulation system, such as HDN, will have exactly the same histological features as the healing process progresses. One does not need to “think dirty” in order to explain the dead spicules of bone lying in amongst the other cells as the lesion heals.

For those of your readers unfamiliar with this condition it is a bleeding disorder in the neonatal period due to Vitamin K deficiency. The risk of HDN is highest in the first 13 weeks of life and commoner in exclusively breast fed infants as was Harry.

Prematurity is also a risk factor. Harry was 3 weeks premature .The late or delayed form of HDN usually presents at around 8 weeks of age. Harry Clark was 8 weeks when he died. The essential features of HDN are spontaneous bleeding resulting in a severe haemorrhagic state with bleeding and bruising anywhere in the body [1.2.3].

In an attempt to prevent HDN 1mg of Vitamin K is usually administered at birth but this is not always successful the failure rate in Germany [4] being about 1 in 400000 a rate sufficient to account for about 2 cases a year in England. Incidentally HDN is also known as Vitamin K Deficiency Bleeding (VKDB).

In America a father was charged with the murder of his 10 week old son Alan Yurko. Here again the main lesions found were bleeding into various tissues including callus formation on 4 ribs (5,6,7, and 10 left side). In this instance however, the father, observing the child in respiratory distress rushed the infant to hospital. Blood was taken for various tests including a Prothrombin Time which was prolonged.

The laboratory diagnosis of HDN requires one to demonstrate a prolonged Prothrombin Time as was done in the case of Alan Yurko. Yet surprisingly this evidence was totally ignored by the Medical Experts. One can only conclude that the “Experts” for the prosecution, six in all, were unaware of the existence of HDN. Regrettably the only defence witness must have been innocent of knowledge of the condition because he too, didn’t suggest it.

Ignorance of HDN is widespread. It is time Forensic Pathologists worldwide realized that bleeding and bruising of an infant, and especially rib calluses, are not necessarily due to abuse. Jayawant et al [5] have suggested that a haemorrhagic screen should be mandatory in all suspected cases of child abuse. This should also be mandatory in Australia before we too, start imprisoning innocent parents.

Michael D. Innis FRCPath; FRCPA
Honorary Consultant Haematologist
Princess Alexandra Hospital, Brisbane

References

1.Oxford Textbook of Medicine (1987) Edited by Weatherall DJ. Ledingham JGG. Warrell DA. Oxford Medical Publications 19;230

2. Hematology Fourth Edition Edited by Williams WJ. Beutler E. Erslev AJ. Lichtman MA p 1511

3. A joint position statement of the Fetus and Newborn Committee, Canadian Paediatric Society (CPS), and the Committee on Child and Adolescent Health, College of Family Physicians of Canada

4. von Kries R. Vitamin K prophylaxis – A useful public measure? Paediatr Perinat Epidemiol 1992;6:7 -13

5. Jayawant S. Rawlinson A. Gibbon F et al; Subdural haemorrhages in infants: population based study. BMJ (1998) vol 317:1558-1561

I declare I have no conflict of Interest. My interest lies in preventing a Miscarriage of Justice.

Source:

http://www.bmj.com/cgi/eletters/324/7328/41#20719


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