Archive for December, 2009

The Terrible Triad & Changing the Guard

Wednesday, December 9th, 2009

This article dates back to 2007, when Keran was wrongly sent down, this is just one part of the now many other reasons the Old Guard cling to as the Terrible Triad. Well as someone who has Policed the Changing of the Guard on many occasions I seem to recognise that another Gaurd Change is seemingly ongoing, may take a bit longer than the normal one though. But its happening…

Minor brain bleeding found in 26% of newborns in study

Tucson, Arizona | Published: 01.31.2007

Minor brain hemorrhages occur in about one in four otherwise healthy newborns — a finding that surprised researchers and could help physicians avoid wrongly accusing parents and caregivers of child abuse.

The researchers, whose findings appear in the February issue of the journal Radiology, note that bleeding in an infant’s brain is commonly associated with “shaken baby syndrome,” an injury that occurs when an infant is shaken violently. Intracranial bleeding, which can cause serious brain damage or even death, is one of the hallmark characteristics of a shaken baby.

That’s why physicians at the University of North Carolina-Chapel Hill were taken aback at results of a radiology study looking into early brain development.

Scan after scan of infants turned up brain bleeding — 26 percent scanned with magnetic resonance imaging showed evidence of such bleeding. Previous studies have found brain bleeding at significantly lower rates.

Dr. J. Keith Smith, a UNC radiologist, said physicians are trained to suspect child abuse when they see intracranial bleeding. But as the bleeds showed up in more and more babies scanned, and those children showed no classic signs of brain injury, Smith and his colleagues concluded that minor bleeding may be relatively common.

Smith, a co-author of the Radiology article, speculates that newer imaging technology has only recently made it possible for doctors to see it.

Researchers found the bleeding is most common in babies delivered vaginally. They think it occurs as the infant’s still-flexible skull is compressed while passing through the birth canal.

Source:
http://truthinjustice.org/brain-bleed.htm

Expert ‘not above using deception’ and 169 Recommendations

Wednesday, December 9th, 2009

  Hi,

Can we follow out Canadian Cousins and maybe look at the 169 Recommendations that they have already come up with I have only come up with about 40 so far but then I haven’t really been trying!

Hey ho, here’s the story…

TORONTO - The doctor at the centre of an inquiry into Ontarios pediatric forensic pathology system was not above using deception,” but blame for the errors he made, which led to wrongful prosecutions, also rests with his former supervisors in the Office of the Chief Coroner for Ontario.

The doubled barreled criticism leveled at Smith and former chief coroner James Young and his deputy Jim Cairns are contained in a 1,000-page report released Wednesday by Justice Stephen Goudge, who calls for sweeping changes to restore public confidence in the flawed pediatric forensic pathology system.

“For over a decade, while the danger signals about Dr. Smith kept coming, those in charge of the (Office of the Chief Coroner for Ontario) OCCO who ultimately might have done something about the mounting problem did far too little,” Goudge said in his report. “It is a graphic demonstration of how the oversight of pediatric forensic pathology could and did fail, almost completely.”

Goudge makes 169 recommendations that he said will protect the administration of justice and help “leave behind the dark times of the recent past.”

The inquiry was called following a review by international experts who found Smith made serious errors in 20 of 45 criminally suspicious deaths he investigated between 1991 and 2001. Smiths findings helped lead to homicide charges against parents and caregivers, many of which were unwarranted.

Goudge said Smith was candid during the inquiry in acknowledging his disorganization, his arrogance and the dogmatic manner in which he often presented evidence as an expert witness. (He sounds like someone or several people I know and they don’t live in Canada).

Still, Goudge maintained Smith tried to “frustrate oversight” of his work by superiors and was “not above using deception to attempt to throw them off the trail.”

“Dr. Smith was adamant that his failings were never intentional,” Goudge said. “I simply cannot accept such a sweeping attempt to escape moral responsibility.”

Goudge recommended establishing a governing council to oversee the duties and responsibilities of the corners office and the creation of an accredited one-year university training program in forensic pathology.

Goudge said Smith had “woefully inadequate” training in forensic pathology and followed many flawed practices.

He said Smith was not alone in his lack of training noting very few pathologists in Ontario had the qualifications they should have had to give pathology opinions.

Goudge heard from more than 94 witnesses during 63 days of hearings that began last November.

During the hearings, Smith apologized repeatedly for his errors and in one of the most dramatic moments at the inquiry, apologized to William Mullins-Johnson who spent 12 years in prison after he was convicted of murdering his four-year-old niece. His conviction was quashed last year after the expert evidence was dismissed as unreliable.

Mullins-Johnson said later the gesture had changed his life. “I forgive you but I will never forget what you did to me,” Mullins-Johnson told the pathologist from the public gallery. “You put me in an environment, every day, where I could have been killed for something I didn't do . . . You destroyed my family. They hate me because of what you did.” (What a generous man not sure I can find it in me to be especially as they should have learnt their lesson - once is bad, twice has to be unforgiveable)!!

Other recommendations to rebuild pediatric forensic pathology in Ontario include:

-Establish the Ontario Forensic Pathology Service as the provider of all forensic pathology services for the province;

-Recognize and define the principal duties and responsibilities of the chief forensic pathologist;

-Recognize one or more deputy chief forensic pathologists; and

-Require that all post-mortem examinations performed under coroner's warrant be performed by “pathologists,” a term that should be defined in the Coroners Act.

Dr Smith Story - An ex expert

Wednesday, December 9th, 2009

Dr. Charles Smith: The man behind the public inquiry

Last Updated: Monday, December 7, 2009 | 1:38 PM ET Comments2Recommend5

CBC News

Dr. Charles Smith was long regarded as one of Canada's best in forensic child pathology. A public inquiry was called after an Ontario coroner's inquiry questioned Smith's conclusions in 20 of 45 child autopsies.Dr. Charles Smith was long regarded as one of Canada’s best in forensic child pathology. A public inquiry was called after an Ontario coroner’s inquiry questioned Smith’s conclusions in 20 of 45 child autopsies. (Frank Gunn/Canadian Press)On a typical case, he might have to decide whether a child had been shaken to death or accidentally fallen from a highchair.

Dr. Charles Smith was once considered top-notch in his field of forensic child pathology. In 1999, a Fifth Estate documentary singled him out as one of four Canadians with this rare expertise.

For 24 years, Smith worked at Toronto’s Hospital for Sick Children. In the hospital’s pediatric forensic pathology unit, he conducted more than 1,000 child autopsies.

But Smith no longer practises pathology. An Ontario coroner’s inquiry reviewed 45 child autopsies in which Smith had concluded the cause of death was either homicide or criminally suspicious.

The coroner’s review found that Smith made questionable conclusions of foul play in 20 of the cases — 13 of which had resulted in criminal convictions. After the review’s findings were made public in April 2007, Ontario’s government ordered a public inquiry into the doctor’s practices.

That inquiry, led by Justice Stephen Goudge and concluding in October 2008, found that Smith “actively misled” his superiors, “made false and misleading statements” in court and exaggerated his expertise in trials.

‘Smith was adamant that his failings were never intentional. I simply cannot accept such a sweeping attempt to escape moral responsibility.’—Justice Stephen Goudge

Far from an expert in forensic child pathology, “Smith lacked basic knowledge about forensic pathology,” wrote Goudge in the inquiry report.

“Smith was adamant that his failings were never intentional,” Goudge wrote. “I simply cannot accept such a sweeping attempt to escape moral responsibility.”

Acted more like a prosecutor

Some have accused Smith of taking on a role larger than pathologist. The lawyer for Brenda Waudby said he was on a crusade and acted more like a prosecutor. Waudby was convicted in the murder of her daughter after Smith analyzed the case.

Brenda Waudby was wrongly accused of killing her 21-month-old daughter Jenna in 1997. Brenda Waudby was wrongly accused of killing her 21-month-old daughter Jenna in 1997. (Frank Gunn/Canadian Press)A pubic-like hair found on her daughter went missing during Smith’s investigation. It was discovered he had kept the hair in his office before police found it five years later. In the end, Waudby’s charges were dropped and the child’s babysitter was convicted.

Smith said he had a passion for uncovering the truth in child deaths. The Ontario pathologist told media lampooning him he had “a thing against people who hurt children.” He welled up when speaking about a mother looking for the cause of her baby’s death.

Smith had been in search of his own personal truths. He was born in a Toronto Salvation Army hospital where he was put up for adoption three months later. After years of looking for his biological mother, he called her on her 65th birthday. But she refused to take his call.

Smith’s adoptive family moved often. His father’s job in the Canadian Forces took them throughout Canada and to Germany. He attended high school in Ottawa, and graduated from medical school at the University of Saskatchewan in 1975.

Sick Kids tenure

Hired by Toronto’s Hospital for Sick Children in 1979, Smith worked in surgery for a year and then moved on to pathology training. A pathologist studies diseases and illnesses by assessing matter such as cells, tissues, organs and fluids. Pathologists also examine biopsy material, and give a subsequent diagnosis.

When it comes to autopsy reports, the field of pathology can be a subjective one. It’s based on research and opinion, and it’s especially controversial in Canada, where there is no formal training or certification process. Only a handful of practitioners in Ontario are entrusted with the job — and they’ve learned by doing.

With child victims, forensic analysis is rarely cut and dried. It can take an infant up to 24 hours to die of a shaking incident, which is a crime that doesn’t leave evidence the way a regular killing might.

After his initial training at Sick Kids, as the Toronto hospital is known, Smith began conducting child autopsies in 1981. He started with children who had died of accidental and natural causes. By the late ’90s, Smith saw more forensic child cases than any other pathologist across the country.

Smith’s unit used arrest warrants to reinvestigate cases of sudden infant death syndrome (SIDS). He oversaw the autopsies of exhumed babies that led to new murder charges.

In one such case, Smith appeared before a court in the death of six-month-old Sara Podniewicz. He concluded she had been dead for up to 15 hours before her parents reported the death. The parents had told a 911 operator the girl had died just moments before. Smith’s analysis led to second-degree murder charges.

In December 2009, Sherry Sherrett-Robinson was acquitted of killing her son whom Smith had concluded died of asphyxia a decade earlier. Smith suggested Sherrett-Robinson’s son, Joshua, suffered a skull fracture and neck hemorrhages. Ontario’s chief forensic pathologist, Dr. Michael Pollanen, however, told the Ontario Court of Appeal that he did not find a skull fructure and noted the neck hemorrhages were caused during the autopsy process.

First doubts

In 1991, a family in Timmins, Ont., was the first to raise questions about Smith’s work. He had concluded their one-year-old baby had died from being shaken. The child had been under the care of a babysitter who said the baby had fallen down stairs.

In court, experts challenged Smith’s opinion, which had resulted in the babysitter’s charge of manslaughter. The judge in the case stated Smith should have taken other causes into consideration.

Once the most prolific pathologist, Smith began getting a reputation for late cases, and his disorderly desk produced samples that had gone missing.

In 2002, he received a caution from the Ontario College of Physicians and Surgeons. The college said he was being “overly dogmatic” and had a “tendency towards overstatement.”

In June 2005, Dr. Barry McLellan, Ontario’s chief coroner, started the review of 45 child autopsies conducted by Smith between 1991 and 2002. The review, released in April 2007, found that Smith had made mistakes in 20 cases involving the deaths of children. The review cast doubt on criminal convictions in 13 of the cases.

“I am very surprised with the overall results of the review, and concerned,” McLellan said. “In a number of cases, the reviewers felt that Dr. Smith had provided an opinion regarding the cause of death that was not reasonably supported by the materials available for review.”

The chief coroner said the results of the review were being shared with defence and Crown attorneys involved in all of the relevant criminal cases.

After resigning from Sick Kids in 2005, Smith accepted a pathology position in Saskatoon. He was fired after three months. A tribunal later reinstated him, but without a licence, Smith was unable to practise.

Smith told media his marriage ended in light of stress from the highly publicized events. He had lived with his wife and two children on a farm north of Newmarket, Ont.

As a member of the Christian and Missionary Alliance, Smith says he has been fuelled by his life’s purpose — finding out the truth for parents who have lost babies.

Gatherings - All together now…

Sunday, December 6th, 2009

There was a meeting on Saturday of experts from around the globe in London into Non Accidental Head Injuries - the new name for SBS.

I will let you know any useful feedback as soon as I get it. There is another big meet on Thursday with the goodies and the baddies (go on - you can boo and hiss its panto season). It would help the world at large identify them if they wore black cloaks and had moustaches they could twirl actually.

This meeting though unlike the one on Saturday may not ever see the light of day as it won’t be public, but thats the one the CPS got away with getting a second adjournment for - a meeting that may not ever have anything useful to say. But who knows it may well back fire and there’s only so many times you can put off the inevitable…

At least we can concentrate on Christmas, had some good news to today, someone else going through this pain, have had a court recognise the best place for the children is with their parents. So double happy Christmas.

Take care

Iain