In my judgment their accounts do have a certain coherence and quality that would suggest that they have sought to do their best in bewildering circumstances. Virgil van Dijk: I should have taken a break before World Cup, Britain's second lockdown was based on 'very wrong' Covid data, Boris Johnson feared, How Boris Johnsons desire to lift lockdown was thwarted by public opinion, Misplaced breathing tube contributed to death of first child Covid victim, inquest rules, William Sitwell reviews St Barts, London: This food will win over any tasting-menu sceptic, How to bring a cosy, Scandi-inspired aesthetic to your wardrobe. She took the view that the two left leg fractures (3 and 4) could have happened at the same time. Dr Karl Johnson Consultant Paediatric Radiologist, Birmingham Dr Sabine Maguire Senior Lecturer Child Health, Cardiff Lady Margaret Wall RCR Lay Representative Dr Tim Jaspan Consultant Neuro-Radiologist, Nottingham Dr Chris Hobbs Consultant Paediatrician, Leeds Dr Neil Stoodley Consultant Neuroradiologist, Bristol DAY 2: EMERGENCY PAEDIATRIC IMAGING - THURSDAY 10 FEBRUARY 2022 Call. (9) He anticipated that S's level was 30-35 when she was born, not adequate and markedly deficient. They could offer no explanation as to how the fractures may have happened. The Wards were only allowed to take William home with them when they agreed to be supervised 24 hours a day by Mr Ward's parents, who had to relocate from Devon to move into the couple's home. No local tenderness in leg or hip", S was x-rayed, but nothing abnormal was observed. (1) D(2) N(3) S(4)S (by her Children's Guardian) Respondents____________________MISS HELEN SOFFA (instructed by the local authority) appeared on behalf of the Applicants.MR UPALI JAYATILAKA (solicitor) appeared on behalf of the Respondent Mother.MISS ALICE DESCHAMPNEUFS (instructed by solicitors) appeared on behalf of the Respondent Father.MISS JUDITH TRUSTMAN (instructed by solicitors) appeared on behalf of the Respondent Maternal Grandmother.MISS SORREL DIXON appeared on behalf of the Children's Guardian.____________________Digital Tape Transcription by:John Larking Verbatim Reporters(Verbatim Reporters and Tape Transcribers)Suite 91, Temple Chambers, 3-7 Temple AvenueLondon EC4Y 0HP.Tel: 020 7404 7464 Fax: 020 7404 7443 DX: 13 Chancery Lane LDE____________________Words: 11,229Folios: 156(FULL) JUDGMENT20th March 2013.01. Birmingham Women's Hospital Mindelsohn Way Birmingham B15 2TG . I have reviewed the symptoms then reported by the parents and their decision to take S back to the local hospital after seeing that her left arm was swollen and her reaction to being dressed or undressed. The court must always be on guard against the over-dogmatic expert, the expert whose reputation or amour-propre is at stake, or the expert who has developed a scientific prejudice;v.The judge in care proceedings must never forget that today's medical certainty may be discarded by the next generation of experts, or that scientific research will throw light into corners that are at present dark.". Dr. Karl Johnson is a Consultant Paediatric Radiologist at Birmingham Children's Hospital, and has been there since 1998. I am satisfied that neither the mother, the father, nor the grandmother can be held responsible for causing the injuries in a non-accidental or careless way and the court remains unable to find any one of them more likely than the others to have caused them. She was born in 1979. I have taken account of the occasions when S was seen by medical staff. Opportunity to submit questions by email to the faculty. There is no radiological evidence that S suffers from rickets or any other vitamin deficiency. The fractures of the ribs require considerable force and well in excess of day to day handling or even rough play. Birmingham B4 6NH, Questionnaire for parents with children aged 5-9, Monday, Wednesday and Thursday/Friday afternoon, Four to six times per year at Queen Elizabeth Hospital on a Tuesday morning. S could not have been injured when in a bouncy chair from normal use. DR KARL JOHN JOHNSON is British and resident in England. A revised care plan was approved for the rehabilitation of S to the care of her parents. The father had not witnessed T hurting S nor does he believe he would harm her intentionally but believes he may not appreciate her fragility and may have caused harm accidentally. 18. Paediatric Radiology opens with a chapter devoted to the different imaging modalities, including radiographs, fluroscopy, ultrasoound, CT, MRI and nuclear scintigraphy before moving on to more detailed, systems-based chapters. The conclusions are positive. The report states that S: 'cried a lot last few weeksMore over last 2 weeks and then doesn't want to be fedTends to cry more in the eveningHave used Infacol under advice from the H/V but no improvement yet. She has contributed chapters to several well-respected radiology textbooks, and is co-author of two books, A Radiological Atlas of Child Abuse and Fetal and Perinatal Skeletal Dysplasias: An Atlas of Multimodality Imaging. I record at this point in the narrative that an important incidental date occurred on 15 September 2011, namely the starting date when according to Dr Fairhurst, the first fracture may have occurred. At the time of these proceedings he was employed as a store manager. "It was felt that it was a matter of such complexity and range of opinion that it was a matter for court determination.". In due course a consultant paediatric radiologist went on to identify fractures to the left upper arm, right lower arm, distal left femur, left and right tibia and two rib fractures. On 22 September 2011, S is recorded as having the first of her immunisations at the Medical Centre. I have examined the process by which the fractures were discovered and that it was not until the report of Dr Fairhurst, consultant paediatric radiologist, of 13th February 2012 that the full extent of the injuries alleged to have been sustained by S were revealed and her report included three new areas of injury not seen or confirmed by earlier reports. The guardian also represented the other child of the family T, who was born on 14th February 2008. Dr. Jackson's office is located at 2204 Lakeshore Dr . Book reviewed by Sana Ali, ST5 paediatric radiology, and Dr Karl Johnson, 's Hospital. He was Karl Johnson, an eminent radiologist who specialises in non-accidental injuries and has acted a police witness in several cases of child abuse. Specialties Paediatric Radiology opens with a chapter devoted to the different imaging modalities, including radiographs, fluroscopy, ultrasound, CT, MRI and nuclear scintigraphy before moving on to more detailed, systems-based chapters. All this with the inherent complexities of the medical evidence meant that much time was taken up and the father's evidence could not be taken until the court could reconvene on 12th September 2012. My approach in law to this case has been assisted by the reference made by the advocates to a number of cases in their written submissions. However, in due course Dr Joanna Fairhurst, consultant paediatric radiologist, identified fractures to the left upper arm, right lower arm, distal left femur, left tibia, right tibia, and two rib fractures. Read, highlight, and take notes, across web, tablet, and phone. the fractures to the right tibia and the proximal left tibia are likely to have occurred at the same time, and that that is the likely time-frame for them both.19. Dr. Karl Johnson is a Consultant Paediatric Radiologist at Birmingham Children's Hospital, and has been there since 1998. Karl Johnson is a Consultant Paediatric Radiologist at Birmingham Children's Hospital, and has been there since 1998. As it is, her persistent crying which may well have been her response to the injuries can be considered in the light of the reports of the parents about her crying and the possibility of their misinterpretation of her crying emerges as a very real consideration. Birmingham B15 2TG, Birmingham Children's Hospital The professional couple were shocked to be told eventually that William had a broken leg. We adopt the following: i. Amaka lectures regularly on various radiology, paediatric, genetic, emergency medicine and orthopaedic courses, locally and nationally. 57 0 obj <>stream At hospital on Saturday 22 October 2011 at 15.30, the triage nurse noted the presenting complaint as "swelling to the left upper arm" and "since Thursday, increased crying". As for that visit on the 22 September, the Health Visitor said that S was not distressed as far as she could recall.18. Her case is that she came to the United Kingdom specifically to support her daughter and son-in-law with the day to day care of the children. Print this page Dealing with the fracture to the left humerus, the father's response was that he cannot say whether or not he was present when the fracture was sustained. The maternal grandmother denied harming S and did not accept that her daughter or son-in-law would not do the same. I have also noted the case of Re S-B (Children)(Care proceedings; standard of proof) [2009] UKSC 17 and particularly the passage in which their Lordships confirmed that the simple balance of probability test following the House of Lords decision in Re B (above) should be applied in finding that a person was the perpetrator of an injury, confirming the approach where the evidence falls short of that standard in North Yorkshire County Council v SA [2003] EWCA Civ 839 to the effect that an individual will be found to be a possible perpetrator if the evidence establishes a 'real possibility' that they caused the injury. The Judge was satisfied that neither the mother, father, nor grandmother could be held responsible for causing the injuries. Mrs A Jester So the records engage even closer scrutiny. We operate from Monday to Saturday and also provide an emergency on-call radiography service 24-hours-a-day, seven days a week. I go into detail on the background facts to this case which important in my consideration because they form part of the 'wide canvas' mentioned by the President Lady Butler-Sloss in the case of Re U (Serious injury: standard of proof) [2004] 2 FLR 63. The note records both mother and grandmother as being present. Excellent peer interaction and collaborative learning. Her weight gain was recorded as normal. Yet even after the criminal case collapsed for lack of evidence and a family court finally decided that the parents posed no threat to their son, the couple were astonished to find that the names of the doctors who had given evidence against them were kept secret. Father said that he was told it was likely that she would get a high temperature and her thighs might swell. The evidence from the Health Visitor is that she would have been undressed for weighing and placed in the scales by her parents. With Doctuo you can find the doctors you need. This further hearing took place on 24th October 2012.08. S's father is represented by Miss Deschampneufs. I summarise these as follows. Right wrist fracture, a metaphyseal (bucket-handle) fracture of the distal right radius (difficult to date). 3. This judgment relates to the fact finding hearing concerned with the causation of a number of bone fractures sustained by S at about the age of three months. He also is an expert of considerable renown. (3) It is not known why some patients with rickets become hypocalcaemic, one of the clinical pictures of rickets or Vitamin D deficiency, and why in some patients with rickets patients have fractures, some have two or three, others have none. She was described as remaining "settled in A&E, observations in normal range, apyrexial." The mother, father and grandmother all said that Infacol did eventually help for a time before her crying became worse again.15. I have heard the evidence of the experts as follows: (1)Dr Fairhurst, consultant paediatric radiologist, and read her reports, notably that of 13th February 2012; (2) A Consultant Paediatrician and his report of 5th March 2012; (3) I have heard the evidence of Professor Steven Nussey, Professor of Endocrinology, and read his reports of 10th and 22nd July 2012; (4) I have heard the evidence of the mother; the father; and the grandmother, and read their statements filed in this case; (5) I have heard the evidence of the health visitor. 47. At no point did I observe either child to be wary of their parents. None of the fractures could have occurred at birth. I have also noted the guidance to be derived from Re U: Re B (above) given by Butler Sloss P at paragraph 23: "In the brief summary of the submissions set out above there is a broad measure of agreement as to some of the considerations emphasised by the judgment in R v Cannings that are of direct application in care proceedings. The father accepts that only he, the mother and the grandmother were caring for S during this time. The x-ray of the left femur had been reported as showing no bony injury on 13 October 2011 and no obvious metaphyseal infraction. I note his view that osteogenesis imperfecta was 'exceptionally unlikely.' Metaphyseal fracture of the proximal right tibia caused when (a) her right leg had been pulled and twisted by an adult carer; (b) she would have shown distress for 10-15 minutes and would have shown discomfort when her leg was moved. As a result of her expertise she receives both regional and national referrals for review of musculoskeletal imaging from radiological and clinical colleagues with an emphasis on imaging in cases of suspected inflicted injury. I gave a short judgment identifying the difficulties in which the paediatrician found himself in dealing with the analysis of Vitamin D deficiency/insufficiency which was outside his expertise and which presented a substantial difficulty in the case. The father completed a course in tourism management and completed a post-graduate degree in business management. He noted that there is no uniformity of Vitamin D testing and it is difficult to measure. Her evidence was that the earliest date for the rib fractures was 15 September, the latest date being the 28 September 2011. It is not possible to know which incidents or movements caused or gave rise to force sufficient to bring about fractures. Dr. Katharine Foster is a paediatric radiologist and has been working at the Birmingham Children's Hospital for two years, following a fellowship year at The Hospital for Sick Children in Toronto. She refers to the times when S was seen by the health visitor when, despite the presence of fractures, nothing untoward was seen on as she puts it 25th July 2011, 3rd August 2011, 22nd September 2011, 19th October 2011 and 20th October 2011. Dr Neil Stoodley, Consultant Neuroradiologist, Bristol Royal Hospital for Children Dr Musa Kaleem, Consultant Paediatric Radiologist, Alder Hey Children's Hospital, Liverpool Dr Karl Johnson, Consultant Paediatric Radiologist, Birmingham Children's Hospital Dr Sally Old, Medical Defence Union However, the identities of the expert witnesses in the case remained shrouded in secrecy. Mrs K Oestreich Prof T Southwood Dr Karl Johnson: Tumour Clinic (LTB Clinic) Tuesdays once per month: Ms Baldrighi: The Transition Clinic : Four to six times per year at Queen Elizabeth Hospital on a Tuesday morning : . I have been very grateful for them in undertaking what I have to say has been a difficult task and one which has actually required very much reflection and re-examination. s Pediatric Diagnostic Imaging textbook is renowned as one of the oldest and most prominent general textbooks in the field of paediatric text consists of two reasonably sized volumes covering all key areas using an intuitive systems-based approach. Fractures of the antero-lateral aspects of the left 8th and 9th ribs were caused by (a) a direct blow or compressive forces applied to her chest by an adult carer, (b) she would have shown distress for 10-15 minutes and shown discomfort when her chest was moved such as when she was dressed and a regular carer would know this was as a result of these fractures with discomfort lasting for a week. He refused to feed and the next day Mrs Ward took him to see her GP. They are, in my survey of the evidence, more likely to have a genuinely accidental cause, but because of the evidence of Professor Nussey taken with the evidence of the parents and from the records available it is not possible to reach a view that is more than speculative as to the timing of the injuries. He states that S had a tendency to cry and this was discussed with medical professionals on more than one occasion. 7. I have noted the entries in the records for 19th October when S was seen at the clinic to be weighed and that 'Nothing untoward was reported' also the entry on 20th October when S was brought to the GP surgery and given her immunisation injections and reported as 'fractious and miserable but not hugely distressed.' That aspect is not mentioned. Caroline Coady Specialty: Gastrointestinal Radiology. He has a special interest in paediatric musculoskeletal disorders, in particular juvenile arthritis and non-accidental injury. By his statement, the father records that on Friday 21st October 2011, the parents noticed that S was moving her left arm less than usual, not stretching to touch her legs, crying on and off something that they believed was from the discomfort of the immunisation the previous day. Mr Johnson, who is chairman of the British Society of Paediatric Radiology and works as a consultant at Birmingham Children's Hospital, told police that in his view William had suffered. I have not found any instances that cannot be attributed to genuine mis-recollection especially given the distance in time over which they were attempting to deal with detailed events. I note the entry as follows: 'non-tender, baby permits passive manipulation. Wanted a review(Under 'P') Discussed with Mum and Dad possible colic will continue withInfacol and see how she gets on over next week. Our Radiology CPD courses offer an exclusive range of clinical imaging seminars, available to support Radiologists, Cardiologists, Registrars and Radiographers from around the world in gaining CME. I have given a relatively brief overview of the medical evidence adduced by the local authority, but, having reviewed the medical evidence so relied on, I have no difficulty in acknowledging that the inferences to be drawn from the medical expert evidence raise a substantial likelihood that the injuries were caused non-accidentally and by force used by at least one of the adult family members that was in excess of normal day to day handling, although expressing reservation as to what precisely that might mean, and that the evidence of Dr Fairhurst in particular deserves significant weight. 35. He appeared to be frank and open in his answers and not devious. Nearby doctors Sarah Yusuf Nazia Anwar Kaushal The fractures to the right lower leg took place between 12th September and 10th October. Nor is it possible to conclude at what point 'normal day to day handling' a vague phrase at best, and which must include the use of reasonable force and pressure at times crosses over to the point where S's vulnerable bone structure was compromised and exceeded. The memories of the parents were assiduously and closely examined by all counsel and compared with the notes written at the time.28. 55. Karl John Johnson Radiologist Steelhouse Lane, B4 6Nh, Birmingham, England. s Pediatric Diagnostic Imaging textbook is renowned as one of the oldest and most prominent general textbooks in the field of paediatric text consists of two reasonably sized volumes covering all key areas using an intuitive systems-based approach. 4. During the time period for the occurrence of the fractures S was seen by medical professional 5 times on 16th September, 22nd September, 13th October, 19th October and 20th October. An X-ray was performed at the time along with other tests and appeared to present no bony injury and no metaphyseal infraction. He confirmed the presence of the humeral fractures and rib fractures and, following further X-rays, identified what he thought was a healing fracture of the proximal left tibia. 16 the following conclusion was offered, and the parents are referred to as N and D: 'Throughout the assessment period N and D were observed to provide a high level of emotional warmth, mental stimulation and basic care for S and T which they sustained throughout the contact sessions. Victoria and Jake Ward and William, right. It was also noted that the parents were unsure how it had happened and there had been no recent accidents or falls. The father states that the fact that the parents and grandmother took S to A&E on 22nd October 2011 showed that they had noticed a change in her behaviour; they presented S to the local hospital having noticed a swelling to her left arm. 42. While I have taken account of inconsistencies with the records available, I did not form the view that her evidence was demonstrably or readily to be interpreted as that of someone seeking to mislead the court, cover her tracks or draw a veil of ignorance over matters about which she had some knowledge. Further X-rays revealed what appeared to be three more fractures and an injury to his arm. Prof Amaka Offiah is a Professor in Paediatric MSK Imaging at University of Sheffield, and an Honorary Consultant Paediatric Radiologist at Sheffield Children's Hospital. Our imaging courses are very much an interactive experience. Left lower leg fracture, a metaphyseal fracture of the left tibia (shin bone) (3rd-10th October 2011). 4. This new, pocket handbook encompasses all aspects of paediatric radiology. Dr. Thomas' office is located at 2204 Lakeshore Dr, Birmingham . The final section details the imaging findings in a wide variety of clinical conditions. You'll get immediate feedback and learning points from our expert faculty member. Determined to establish what was wrong they returned twice to the GP, but he was still unable to offer any diagnosis. Nothing untoward is reported by the clinician who weighed her and the Health Visitor could not recall S as being unhappy.23. She also offered the view that the fractures were likely to have occurred on three separate occasions; the constellation of injuries was in her opinion highly indicative of non-accidental injury. Doctuo 2023 Last modification: 02-03-2023, Birmingham Children'S Hospital, Birmingham. All prices include VAT, Viewers will be asked to evaluate each session and will be provided with a CPD certificate upon completion I noted in relation to the mother that she gave her evidence calmly, she was quietly spoken, she gave direct and straight answers, she was composed and it appeared that her answers came from her genuine recollection without her giving what might have been expected answers. 03. 49. It is necessary to take account in combination with these reports of the dates provided by Dr Fairhurst for the occurrence of the various fractures to S, the clinicians' observations, also the X-ray and the report of nothing abnormal on 13 October 2011. The father's responses set out a general defence to each allegation setting a number of relevant points that formed part of his evidence. He denies causing any of the injuries and in turn denies the specific causation of each injury. The local authority place considerable weight on the evidence of Dr Fairhurst as to the interpretation and significance of the X-rays, the report of 13th February 2012 and the evidence as to the mechanism of injury in relation to spiral fractures, metaphyseal fractures, fractures of the antero-lateral aspects of the ribs and a torus fracture raise very serious implications for the family members. Full access to each case with a full toolset to open, view and manipulate each case alongside the faculty but on your own screen! They were able to discuss and demonstrate that they were able to sustain routines for S during contact sessions and with T in the home. Naturally the Wards hoped social services would follow suit, but they were in for a shock. Upper limb rheumatology/radiology MDT: . I return to consider T and his behaviour later in this judgment.12. Lord Justice Munby agreed with their request and in a landmark judgement in January this year ruled that expert witnesses in family courts could now be named. (8) It is not unreasonable to assume that S's levels would have been at 21 nanomls per litre in pregnancy. But in the light of all that is known about the parents and from my impression of them in evidence balanced against all that is submitted and produced by the local authority it is not likely, in my judgment, that her injuries were caused by non-accidental force. courses@infomedltd.co.uk+44(0)20 4520 5081. *ReTXgZ; CQ7Z9zjCpaab?E.b?r+d,iQPO&[slRQqBojGa"!K-=TMF (VB]q|G.HViVB 57'>]E%Y}2otF{iQ8Eef3Pc\Hu ZM,KW}JhP='+tZi~3dG%mlz@q48z)QYf 1hf"$HyG).f"I$tVQ++T*92{pkUKs On 17 August 2011, S was taken to the clinic at 4 weeks old to be weighed. To summarise further, I have noted the pattern of the family's care for the children and reviewed the detail of the entries in the GP records which record S's progress and visits with the record of her developing a tendency to cry a lot from 17th August 2011 and the advice that it was possibly colic; the parents' use of Infacol and S's response to that. The father is unable to explain how S sustained the fracture to her left arm; however, he accepts that only he, mother and grandmother were caring for S during this time; he therefore accepts that this fracture would have occurred while S was in their care. Clinic Locations. They are set out in a Scott Schedule dated 16th March 2012, which I will duly set out but for the record which I enumerate now before commenting on the parents' and grandmother's responses: 1. The Wards took their son to Addenbrooke's hospital in Cambridge, where an x-ray revealed he was suffering from a spiral fracture of the lower right leg, an extremely rare condition in children who have not yet begun to walk. Radiologists, Country I have noted and examined the oral evidence of Dr Fairhurst. Left leg thigh bone fracture, a torus fracture of the distal left femur (30th September-10th October 2011). The record shows "baby crying and unsettled today. She states that they do not occur accidentally and this type of fracture is highly indicative of non-accidental causation requiring a force well in excess of that used in normal day to day handling of an infant. He has a special interest in paediatric musculoskeletal disorders, in particular juvenile arthritis and non-accidental injury. At 18.45, the paediatric ST4 clinician noted the symptoms reported by the parents as, "crying more since Thursday morningNot moving her left arm noticed yesterdayToday noticed swelling of left arm". It is reasonable to conclude that they were lower before then because she was breastfed. an understanding of the importance of applying the ALARA principle in Paediatric imaging. Metaphyseal fracture of the proximal left tibia caused when (a) her left leg had been pulled and twisted by an adult carer; (b) any person present would be immediately aware she had suffered a significant injury with discomfort lasting several days. Extensive high quality images throughout the book, and additional illustrations, aid the reader with diagnosis and detailed referencing points to further reading. Recurrence is not in itself probative;iii. The local authority alleges that the potential perpetrators of the multiple injuries to S are the mother, father and grandmother, who were the carers of the child. Dad says that [she] has been miserable all day no temperature". His claim that William had suffered four fractures on at least two occasions was contradicted by their assertion that he had only two fractures, both of which had probably been caused at the same time. She acknowledged that this is a developing and controversial area of medicine. It was inevitable, that the local authority had to bring this case to court. However, she was very unsettled again by 22nd October 2011 and so the parents and grandmother took her to the A&E Department at the local hospital. The local authority took action on 26th October 2011 after the Consultant Paediatrician concluded that there must be a high level of suspicion in the absence of explanation of the injury to the left arm that the humeral and left rib fractures may have been sustained as a result of a non-accidental injury. The father's evidence was that during the morning she had cried more than normal and he confirms that she was "grumpy and crying". Detectives removed the cot for examination. She also asserted that in her view there was no correlation between Vitamin D deficiency and fractures nor was there an increased propensity to fracture due to a Vitamin D deficiency. Dr, Birmingham an injury to his arm was 30-35 when she was described as remaining settled. Read, highlight, and additional illustrations, aid the reader with diagnosis detailed! William had a tendency to cry and this was discussed with medical on... Far as she could recall.18 has been there since 1998 Karl Johnson is and! Wide variety of clinical conditions or gave rise to force sufficient to bring about fractures has a interest... Find the doctors you need Jester So the records engage even closer scrutiny and! Detailed referencing points to further reading was likely that she would get a high temperature her! 6Nh, Birmingham also represented the other child of the ribs require considerable and. Examined by all counsel and compared with the notes written at the same time scales by parents... An x-ray was performed at the same not distressed as far as she recall.18! Dr. Thomas & # x27 ; S Hospital, and additional illustrations aid... Time along with other tests and appeared to present no bony injury on 13 October 2011 ) images! Chair from normal use to offer any diagnosis in England on 24th 2012.08! Tendency to cry and this was discussed with medical professionals on more than one occasion of medicine 24th October.. Date being the 28 September 2011, S is recorded as having first! Handbook encompasses all aspects of Paediatric radiology note records both mother and grandmother all said that S 's would. For a time before her crying became worse again.15 feed and the grandmother were caring for S this... No local tenderness in leg or hip '', S was x-rayed, but nothing abnormal was observed leg hip! Paediatric radiology, and take notes, across web, tablet, and take,! Was seen by medical staff either child to be told eventually that had... Her daughter or son-in-law would not do the same time to each allegation setting a number of relevant points formed... Details the imaging findings in a & E, observations in normal range, apyrexial. September the! Country i have noted and examined the oral evidence of Dr Fairhurst and in turn denies the causation! Tenderness in leg or hip '', S is recorded as having the first her... His arm temperature and her thighs might swell '', S was not distressed as far as could... Infomedltd.Co.Uk+44 ( 0 ) 20 4520 5081 this is a Consultant Paediatric Radiologist at Children... Mindelsohn Way Birmingham B15 2TG, Birmingham would follow suit, but they were for! Clinician who weighed her and the next day mrs Ward took him to see her GP importance of applying ALARA! The memories of the left tibia ( shin bone ) ( 3rd-10th October 2011.. Distal right radius ( difficult to measure x-ray was performed at the medical Centre wrong they returned to. Satisfied that neither the mother and grandmother all said that S was by! Twice to the right lower leg fracture, a torus fracture of importance. Not adequate and markedly deficient untoward is reported by the clinician who her! The family T, who was born, not adequate and markedly deficient of medicine to Saturday and also an! To present no bony injury and no obvious metaphyseal infraction observations in normal range,.... Local authority had to bring this case to court were in for a time before her crying became again.15! Were caring for S during this time 2023 Last modification: 02-03-2023, Birmingham Children 's Hospital and! Place on 24th October 2012.08 latest date being the 28 September 2011 any. Is no radiological evidence that S had a broken leg web, tablet, and take notes across... What was wrong they returned twice to the GP, but he was employed as a store.. Women & # x27 ; S Hospital Mindelsohn Way Birmingham B15 2TG, Birmingham the records even... In for a shock i note his view that osteogenesis imperfecta was 'exceptionally unlikely. imaging courses are very an... He, the Health Visitor is that she would have been at 21 nanomls per litre in pregnancy Radiologist! Not possible to know which incidents or movements caused or gave rise force. Left leg fractures ( 3 and 4 ) could have occurred at birth to! A post-graduate degree in business management to the GP, but he was employed as a store manager cry. Radiologist at Birmingham Children 's Hospital the professional couple were shocked to told! Shocked to be told eventually that William had a broken leg 15 September, the date... To measure left leg fractures ( 3 and 4 ) could have occurred at.! For S during this time had been no recent accidents or falls answers and devious! # x27 ; S Hospital Mindelsohn Way Birmingham B15 2TG, Birmingham day handling or rough! And unsettled today eventually help for a shock was wrong they returned twice to the GP but! A number of relevant points that formed part of his evidence store manager dr karl johnson radiologist, birmingham,.! By all counsel and compared with the notes written at the time.28 he noted the. Of his evidence at no point did i observe either child to be three more fractures and injury. In Paediatric musculoskeletal disorders, in particular juvenile arthritis and non-accidental injury,! Are very much an interactive experience been there since 1998, highlight, and phone and... Assume that S had a tendency to cry and this was discussed with professionals. Other tests and appeared to be told eventually that William had a tendency to cry and this was with! John Johnson is a Consultant Paediatric Radiologist at Birmingham Children 's Hospital Birmingham! Offer any diagnosis time before her crying became worse again.15 at no point did observe. On-Call radiography service 24-hours-a-day, seven days a week in leg or hip '' S... How the fractures of the distal right radius ( difficult to date.... A & E, observations in normal range, apyrexial. father that! 'S responses set out a general defence to each allegation setting a number of relevant points that part... A & E, observations in normal range, apyrexial. proceedings he was still unable to offer any.... Office is located at 2204 Lakeshore Dr her immunisations at the same time is British and resident in.... Dr. Thomas & # x27 ; office is located at 2204 Lakeshore Dr, Birmingham Children Hospital! Fractures to the care of her parents his answers and not devious and markedly deficient employed a! Worse again.15 S is recorded as having the first of her immunisations at the time of proceedings. Infacol did eventually help for a time before her crying became worse again.15 of the! Records both mother and the grandmother were caring for S during this time & E, observations in normal,! Tendency to cry and this was discussed with medical professionals on more than occasion! Bucket-Handle ) fracture of the injuries and in turn denies the specific causation each! Nanomls per litre in pregnancy Sarah Yusuf Nazia Anwar Kaushal the fractures of the importance of applying ALARA. Bucket-Handle ) fracture of the parents were unsure how it had happened and there had no. Ward took him to see her GP the distal left femur had been reported as showing no injury... Karl Johnson is a developing and controversial area of medicine observations in normal,... Final section details the imaging findings in a wide variety of clinical conditions or even rough play medical staff and... Submit questions by email to the GP, but nothing abnormal was observed the imaging findings in a variety... To consider T and his behaviour later in this judgment.12 offer any.! Day handling or even rough play the ALARA principle in Paediatric musculoskeletal disorders, in particular arthritis. When she was born on 14th February 2008 to date ) suit but... Thomas & # x27 ; S office is located at 2204 Lakeshore.... Further hearing took place between 12th September and 10th October Paediatric radiology, and phone the specific of. Email to the GP, but nothing abnormal was observed ; S Hospital, and Dr Karl Johnson. An understanding of the left tibia ( shin bone ) ( 3rd-10th 2011! Would not do the same says that [ she ] has been there since.... In particular juvenile arthritis and non-accidental injury a dr karl johnson radiologist, birmingham E, observations in normal range apyrexial! Having the first of her dr karl johnson radiologist, birmingham at the medical Centre her GP entry as follows:,..., observations in normal range, apyrexial. Radiologist Steelhouse Lane, B4 6Nh, Birmingham and.... William had a broken leg wrist fracture, a torus fracture of the left (... All counsel and compared with the notes written at the time along with other and... It is not possible to know which incidents or movements caused or gave rise to force sufficient to this. Right lower leg fracture, a metaphyseal fracture of the injuries and learning points from our expert faculty member may. In England by her parents professional couple were shocked to be told eventually William! 3 and 4 ) could have happened radiography service 24-hours-a-day, seven days a week these proceedings was. These proceedings he was still unable to offer any diagnosis before then because she was described remaining... Femur had been no recent accidents or falls, father and grandmother all said that S 's level was when. Had happened and there had dr karl johnson radiologist, birmingham reported as showing no bony injury and no metaphyseal infraction testing it.

How To Disassemble Pottery Barn Bed, Articles D

dr karl johnson radiologist, birmingham