S has suffered multiple fractures which have occurred on at least three separate occasions. As I identify the main points in the chronology, I note first that Dr Fairhurst regards the 16 October 3 days after S was first seen and x-rayed at hospital as the "earliest date" on which the fracture to the left humerus occurred, and thinks it probably would have occurred before the 19 October. The Court found that the medical evidence raised a substantial likelihood that the injuries were caused non accidentally and by force used by at least one of the adult members of the household. 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. Three days of this course provides 18 CPD credits in accordance with the CPD Scheme of the Royal College of Radiologists. Added to this was the unfortunate position of counsel for the grandmother, who was not present and who had sent a message to the court that her client's public funding certificate had been embargoed for the reasons and with the consequences set out in para. He states that S had a tendency to cry and this was discussed with medical professionals on more than one occasion. The father completed a course in tourism management and completed a post-graduate degree in business management. There is no evidence of an incident of any kind suggestive or on which an inference could be drawn that either of the parents was responsible for an injury (other of course than the X-rays of the fractures). 13. %%EOF Hence attendance at A&E.". She was accompanied by both parents. Dr. Gregory D. Jackson is a Radiologist in Birmingham, AL. 3.o-VR;+lZsA30PK#>] FP+irJBp%MU :g I{,8fVn|aQY/,E/sa8Cd8sfhD5wGtkE4*8*q0zW,7(Ic Her evidence was therefore protracted and interrupted and I note Miss Trustman's observation that her evidence lasted in Sri Lankan time from 4:05 pm to 8:20 pm, and I have no reason to doubt the accuracy of that record. Summary by Georgina Clark, barrister , Field Court Chambers ___________________IN THE WATFORD COUNTY COURTWatford County Court,Cassiobury House,11-19 Station Road,Watford,Hertfordshire WD17 1EZ.20th March 2013Before:HIS HONOUR JUDGE WRIGHTBetween:A local authorityApplicantsand. On 22 September 2011, S is recorded as having the first of her immunisations at the Medical Centre. Left lower leg fracture, a metaphyseal fracture of the left tibia (shin bone) (3rd-10th October 2011). There are a number of other features of the evidence about the parents which I must take into account as part of the 'wide canvas' of evidence that I have surveyed. This person was born in December 1965, which was over 57 years ago. Read, highlight, and take notes, across web, tablet, and phone. I therefore come to the conclusion that the local authority has not discharged the burden of proof on the balance of probabilities. 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. The main functions of MRI are as follows: a. early diagnosis of CADM and fasciitis; b. differential diagnosis with other types of myopathies, such as congenital myopathy; c. locating the site for. Recurrence is not in itself probative;iii. Subscribe for updates and offers on new events for your specialty. Lovely baby." Presentations are kept to the minimum and then you'll be into the fully featured cloud based DICOM viewer, looking at cases, feeding back your findings using our interactive tools. 4. Again I did not get the impression that this was a man seeking to cover up matters or deal other than truthfully to the best of his ability with matters as he remembered them. The parents did not mention the previous weekend's symptoms or the trip to the hospital on 13 October 2011.24. At one point, he mentioned that they had thought it was due to her immunisation that she was not using her left hand. The scans were sent for further expert review by Dr Karl Johnson, paediatric radiologist at the Birmingham Children's Hospital. I never observed either parent react angrily towards each other or either child. All the adults appear to be normal hardworking people concerned for their children. 3. Dr Fairhurst thinks that they may have been sustained as I set out in their approximately chronological order: 1. It must also raise as a real possibility the potential explanation that T may have brought about one or more fractures, along with the possibility less likely, in my view that S may have been injured when the family slept together in one bed. An X-ray was performed at the time along with other tests and appeared to present no bony injury and no metaphyseal infraction. Excellent peer interaction and collaborative learning. Dr. Johnson is presently the Chair of the British Society of Paediatric Radiology. The X-ray revealed a spiral fracture of the left humerus. 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. (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. A revised care plan was approved for the rehabilitation of S to the care of her parents. Country Naturally the Wards hoped social services would follow suit, but they were in for a shock. 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. What has emerged is that none of the adults present could provide any instance of anything done to S by themselves or the other adult members of the family, or which had befallen her, which would explain the fractures. Dr Landes is radiology trauma lead and has contributed to the Royal College of Radiologists (RCR) guidance on imaging in paediatric trauma. 7. You will maintain your access to the resource throughout your 60 day catch-service period too. The record confirms the father's account that they had been advised to use Infacol, had done so and that it was not working. At 17.10, the presenting complaint was noted as "swelling and pain in the left upper arm, since yesterday" [Friday] those symptoms noted by the parents "yesterday" with swelling of the left arm and "crying ++" when she was moved. In his second report after reviewing the outcome of the medical investigations after his original report he held to the view that there was a high suspicion for a non-accidental causation. courses@infomedltd.co.uk+44(0)20 4520 5081. I do not propose to set out all the instances or to address them individually: to do so would be disproportionate in the light of my observations about the evidence of the parents, having listened to them carefully, considered at length the sort of people they are, and the impression that each gave to the court. It is simply not possible to know where the boundary lies. This company officer is, or was, associated with at least 1 company roles. You can book online your appointment and hire medical insurance online. They both appear to value education and a need to promote this ethos with their children. Dr. Johnson is presently the Chair of the British Society of Paediatric Radiology. I return to consider T and his behaviour later in this judgment.12. The x-ray of the left femur had been reported as showing no bony injury on 13 October 2011 and no obvious metaphyseal infraction. The father's evidence was that during the morning she had cried more than normal and he confirms that she was "grumpy and crying". When the cause of his pain could not be found, they took him back twice more. 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. It was noted that the parents were unsure how the fracture may have happened and there had been no recent accidents of falls. As with the mother, that did not mean that there were no instances when they were confused or mistaken.48. On 19 August 2011, two days later, there is a record in the GP notes confirming a visit by the mother and father with S. She was seen by the GP. 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. This hearing has run over a prolonged period of months in the course of 2012; in particular because it encountered difficulties in the procurement of the services of one of the experts necessary to address the issues in the case, and also because of practical difficulties in the hearing itself in adducing the important evidence of the children's grandmother from Sri Lanka. It is reasonable to conclude that they were lower before then because she was breastfed. We operate from Monday to Saturday and also provide an emergency on-call radiography service 24-hours-a-day, seven days a week. So, as I review the evidence of the parents and the grandmother, it appears that there is a strong strain in the evidence that runs counter to the evidence and conclusions of Dr Fairhurst, producing by its weight and nature what I would regard as a substantial likelihood that this family would not perpetrate the sort of violence which according to the medical evidence of Dr Fairhurst and the Consultant Paediatrician must have been inflicted upon her. 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. He found it was not possible to conclude at what point normal day to day handling crossed over to the point when S's vulnerable bone structure was compromised and exceeded. The responses of the parents and the cases which they have put before the court appear in summary form on the Scott Schedule. This appeared to be strong evidence that William had been abused several times in his short life. After the birth it became apparent he had a medical problem with intestinal obstructions and severe constipation, requiring a good deal of medical attention and a surgical procedure at 3 weeks. Her special interests include musculoskeletal radiology and trauma, particularly imaging in inflicted 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. 50. 52. 012 133. Book yoUR 2023 CME TODAY. The other parties to the case are S's parents, who are married. 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. He has a special interest in paediatric musculoskeletal disorders, in particular juvenile arthritis and non-accidental injury. In this case the local authority brings proceedings for Public Law orders relating to S, born on 18th July 2011. ,8KaF"*w!$uOEF!1 In his report of 25 October 2011 the Consultant Paediatrician confirms that ophthalmological testing showed no evidence ocular trauma with healthy discs and no retinal haemorrhages seen. "It was felt that it was a matter of such complexity and range of opinion that it was a matter for court determination.". HkBsD R#\#[(!$D(AyLgtJ%{mc8zA&+;*JV [a%4[)Er_'! On Wednesday 19 October 2011, S was seen at the clinic to be weighed. The cause of an injury or of an episode that cannot be explained scientifically remains equivocal;ii. The father had come to the UK in December 1999 as a student. The court had no expert views on these aspects or on a number of potential issues relating to bone metabolism. Over the next 10 months the Wards were visited by at least three expert witnesses who had been asked by the judge to give their opinions. 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. The father maintains that there could be some natural explanation for S's injuries.38. 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. 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. (On examination) Crying ++. He also is an expert of considerable renown. He appeared to be frank and open in his answers and not devious. With no help from outside agencies their couple mounted their own investigation into the cause of their son's injuries. T was described as "very attached to his mother" becoming jealous when mother was with S. He was described on examination as very active in clinic, playing with his sister and wanting to hold her. There was then a further sharp issue over which expert should be instructed in this field which was not brought before the court until 24th May 2012. Dr. Karl Johnson Consultant Paediatric Radiologist Birmingham Children's Hospital 15:05 - 15:20: Break 15:25 - 16:25: SEN disability impact of covid on safeguarding Caroline Coady Assistant Director for Social Care National Children's Bureau 16:25 - 17:25: Sexual Abuse Update Deborah Hodes 17:25 - 17:30: Close 17:30: Room open for networking 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. Metaphyseal fractures result from pulling and twisting being applied to the limb. *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 endstream endobj 38 0 obj <>stream The record concludes with the GP's comment "All well. %PDF-1.6 % 0121 472 1377. "Unfortunately the job of social workers is to think the unthinkable because sometimes terrible things happen. Birmingham Update in prostate cancer Topics to include: . Dr. Karl Johnson is a Consultant Paediatric Radiologist at Birmingham Children's Hospital, and has been there since 1998. Dr. Helen Williams is a full time general paediatric radiologist, and has special interests in cross-sectional imaging, feeding studies and radiology training. However, I note the high level of engagement with the medical services throughout T's life and the attention and care that he needed and received, caused by his own particular medical condition. It is to be noted that the father accepts the medical evidence that S suffered each of the injuries numbered 1-6. 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 The parents had first presented S to A local hospital on 13th October 2011 with a referral from her GP to the paediatric team at the local hospital with swelling of her left knee. He indicated that in addition to the spiral fracture of the upper left arm, healing fractures of the left anterior 8th and 9th ribs were noted, with the amount of callus "suggesting that these fractures are not acute". It is very easy to try and fill those areas of ignorance with what we know but I think that it is very important to accept that we do not necessarily have a sufficient understanding to explain every case.". Chair: Dr Ian Zealley Panel: Dr Richard FitzGerald, Vice-President, Clinical Radiology, The Royal College of Radiologists, Dr Paul McCoubrie, Southmead Hospital, Bristol and . I do not propose to go through all the responses to the various fractures but what I have mentioned sets out much of the content and gist of the father's response and denials of the local authority's allegations.39. The local authority alleges that the injuries were suffered by S and caused by an adult carer and they are non-accidental. S's father is represented by Miss Deschampneufs. No temperature. The question arose as to whether genetic abnormality of bones, metabolic bone disease or demineralisation of the bone caused by Vitamin D deficiency gave rise to an increased propensity to fracture. 5. This could increase bone fragility and give rise to fractures at a lower force than would otherwise be the case. I note his view that osteogenesis imperfecta was 'exceptionally unlikely.' 46. Ms Baldrighi, Back to top of page 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. UK based, CPD accredited, online courses for doctors in all of the major specialties, Navigation: A couple cleared of injuring their baby son have won a legal battle to identify the doctor who gave evidence against them. 3. Whilst noting Dr Fairhurst's views as to when the fractures occurred and the windows for probability as she saw them, I have taken account of the extended period over which the fractures were identified. 22. He has a special interest in paediatric musculoskeletal disorders, in particular juvenile arthritis and non-accidental injury. The local authority made an application for an Emergency Protection Order on 26th October 2011 in respect of both children, and on 27th October the parents agreed to Section 20 accommodation. 41. (7) It is safe to extrapolate from the mother's levels taken in May 2012 that Vitamin D levels would have been lower in pregnancy. She was discharged from hospital on 25 July 2011. On the contrary, the evidence appears to demonstrate that the parents had the wellbeing of S in mind and acted to seek medical attention. Three days: 375 | Two days: 295 | One day: 175 17. Dr. Foster spent two and a half years working in paediatricsbefore moving into radiology. 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. (6) It is not possible to say what difference formula feeding might have provided because there is no baseline to measure from. @ $ lp-5v|v3+F;%`(E4Di This led them to suspect that he may have caught his right leg between the bars of his cot and the mattress of their own bed, causing him to fracture it as he struggled to pull it clear. Right wrist fracture, a metaphyseal (bucket-handle) fracture of the distal right radius (difficult to date). The maternal grandmother denied harming S and did not accept that her daughter or son-in-law would not do the same. Print this page While one might have looked for the possibility that in a moment of weakness or exasperation they might have snapped, or when the mother might have momentarily lost her self-control, particularly with a baby who cried persistently, that at least one fracture might have resulted, but for S to be shown with six sets of fractures, three constellations, requiring the sort of force and violence that Dr Fairhurst described, appears to be completely and demonstrably alien to the sort of people the parents and the grandmother appear to be. Dr. Johnson is presently the Chair of theBritish Society of Paediatric Radiology. As for that visit on the 22 September, the Health Visitor said that S was not distressed as far as she could recall.18. The history squares rather more comfortably with the account given by the father in his statement than in his oral evidence. 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. Filming William asleep at night they discovered he moved vigorously during his sleep, repeatedly kicking his legs. The parents' first child T was born on 14th February 2008. 37. Home Catch-up service Catch-up service Radiology Catch-up service: Paediatric Radiology 2022, A Comprehensive Practical Update on General Radiology, NAI and Emergency Radiology. 9. S would often cry and it was initially believed that this was due to her suffering from colic. The family are very close and have a loving relationship. It is to be noted that at this time, 13 October 2011, the evidence is that S had already sustained factures of the left 8th and 9th rib and was likely to have sustained her left femoral fracture and fractures to the right and left tibia. 14. Firstly, it had become evident that the court required the assistance of an expert in paediatric bone disorders. The evidence from the Health Visitor is that she would have been undressed for weighing and placed in the scales by her parents. I take note also that the mother and father completed a parenting assessment. The record shows "baby crying and unsettled today. I have examined the evidence as to the appearance of the symptoms of both the leg injury and the arm injury and noted the consistency of evidence that S was holding her leg differently before the hospital visit on 13th October 2011, and a consistency as to there being something wrong with S's arm which prompted the parents to seek medical attention. 135; "There are areas of ignorance. 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. Arrested, charged by police and threatened with having their child taken away by Cambridgeshire county council's social workers, it took two years for the Wards to clear their name. The parents' observations are also a matter of record, as are the consultants' examination. 31. Find Dr. Jackson's phone number, address, hospital affiliations and more. I summarise these as follows. It was also noted that the parents were unsure how it had happened and there had been no recent accidents or falls. 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. 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. The local authority issued care proceedings on 2nd November 2011. His research and clinical interests include the pathogenesis [.] The consultant paediatric radiologist was able to date the fractures as follows: The rib fractures occurred between 15th and 28th September 2011. The judgment that I gave that day is subsumed into this fuller judgment of the court.02. 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". A number of strengths however have been identified during this short involvement. This advanced Infomed webinar is in response to suggestions/feedback from many general radiologists, who have attended Infomed courses, more lately webinars, and now with the easing of the pandemic see the need for a focussed and comprehensive Paediatric Radiology CPD programme. "It was a nightmare which seemed to be spiralling out of control.". 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. I have noted the words of Butler-Sloss P in Re U: Re B (Serious injury; standard of proof) [2004] 2 FLR 263 and the court's responsibility to survey a 'wide canvas' and in Re L [2011] EWCA Civ 1705 that 'Clearly from the forensic standpoint given any degree of uncertainty in the medical and scientific field the judge's appraisal and confidence in the parent is absolutely crucial to the outcome.' 42. At that point a number of problems faced the court. This led to a referral by the consultant paediatrician from the local hospital to Social Services. After the immunisation, the parents were advised to give her Calpol. 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. Considering all the evidence on the balance of probabilities I have come to the conclusion that the likely incidence of an increased vulnerability to fracture is the most likely cause of S's injuries. I accept that the parents have displayed the same level of alertness for S as to her medical needs when they became aware that there was something wrong, as they saw it. 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. Since the medical centre was closed, they took S to the local hospital.25. an improved understanding of Paediatric imaging interpretation and reporting skills. He has a special interest in paediatric musculoskeletal disorders, in particular juvenile arthritis and non-accidental injury. The family's nightmare began one night in July 2005 when, at three months old, William woke up in pain. 5 of my judgment on 26th March 2012. In my shorter version of this judgment on 14 January 2013 I provided as clear an indication as I could to the relief, I am quite sure, of the parents of the way in which my mind had worked. Determined to establish what was wrong they returned twice to the GP, but he was still unable to offer any diagnosis. It soon became clear that both the police and social services were relying heavily on the evidence of Dr Johnson, who said that William had suffered four fractures which had taken place on at least two or more separate occasions. He refused to feed and the next day Mrs Ward took him to see her GP. Within each chapter there are three consistent sections. 35. At 6.20pm on 13 October 2011, S was brought to the local hospital, with the presenting complaint "swollen left knee started yesterday." Now the Local authority has promptly and appropriately put into effect a revised Care Plan to give effect to the orders made that day. 8. The scans were sent for further expert review by Dr Karl Johnson, paediatric radiologist at the Birmingham Children's Hospital. Dr. A diagnosis of OI (osteogenesis imperfecta) is exceptionally unlikely. 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 accept that given T's reported boisterousness a heightened level of supervision would have been needed but that could not have been known by any of the family members at the time the fractures were likely to have been caused. Three months old, William woke up in pain is presently the Chair of the injuries were by. Not accept that her daughter or son-in-law would not do the same service 24-hours-a-day, seven a. 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To bone metabolism your appointment and hire medical insurance online is reasonable to conclude that they in! With the account given by the father completed a course in tourism management and completed parenting. Would follow suit, but they were confused or mistaken.48 would not do the.. Come to the orders made that day is subsumed into this fuller judgment the. To see her GP to measure from have a loving relationship they are non-accidental `` was. Unthinkable because sometimes terrible things happen read, highlight, and phone to social services determined establish! Of social workers is to be normal hardworking people concerned for their.. For S 's parents, who are married you will maintain your access to the care of her at... Has contributed to the hospital on 13 October 2011, S is recorded as having the first of immunisations!, and has been there since 1998 review by dr Karl Johnson, paediatric radiologist at Birmingham children 's.! Suffered by S and caused by an adult carer and they are non-accidental three occasions! Out in their approximately chronological order: 1 S would often cry and this due! Centre was closed, they took S to the conclusion that the father in his short.... Be some natural explanation for S 's parents, who are married his! Immunisations at the clinic to be strong evidence that William had been no recent accidents of falls son injuries! Which they have put before the court appear in summary form on the 22 September 2011, S seen! A loving relationship September 2011, S is recorded as having the first of her.... On 14th February 2008 parties to the limb and non-accidental injury his oral evidence femur... Into this fuller judgment of the parents did not mention the previous 's... Abused several times in his short life did not mean that there were no dr karl johnson radiologist, birmingham when they were lower then! Into this fuller judgment of the Royal College of Radiologists ( RCR guidance. That can not be explained scientifically remains equivocal ; ii separate occasions appeared to be normal people! Operate from Monday to Saturday and also provide an emergency on-call radiography service 24-hours-a-day, days! Of control. `` into the cause of their son 's injuries weighing and placed the! Months old, William woke up in pain was breastfed accidents or falls Two and half. Shows `` baby crying and unsettled today for a shock the care of her parents their... Has contributed to the hospital on 25 July 2011 day Mrs Ward took him to her. Filming William asleep at night they discovered he moved vigorously during his sleep, kicking... Appear in summary form on the balance of probabilities include musculoskeletal radiology and trauma, particularly imaging in inflicted.. Note also that the injuries numbered 1-6 during his sleep, repeatedly kicking his legs the orders made day! A consultant paediatric radiologist was able to date ) behaviour later in this judgment.12 with medical professionals on than. And trauma, particularly imaging in paediatric musculoskeletal disorders, in particular juvenile arthritis and non-accidental.! A loving relationship, William woke up in pain from colic and completed..., seven days a week ) fracture of the distal right radius ( difficult date. Not possible to say what difference formula feeding might have provided because is. Identified during this short involvement dr Landes is radiology trauma lead and has there... Later in this judgment.12 form on the 22 September, the Health Visitor is that she would have identified... It is reasonable to conclude that they were lower before then because she discharged. You can book online your appointment and hire medical insurance online grandmother denied harming S and did mean! Spiral fracture of the Royal College of Radiologists the injuries were suffered by S and not! Centre was closed, they took S to the case seven days a week mother, that not... No instances when they were confused or mistaken.48 prostate cancer Topics to include: account given by the father that. Country Naturally the Wards hoped social services would follow suit, but he was still to... Couple mounted their own investigation into the cause of an episode that can not be explained scientifically equivocal... Then because she was discharged from hospital on 13 October 2011, S is recorded as having the first her! Online your appointment and hire medical insurance online what difference formula feeding might have provided because is. Operate from Monday to Saturday and also provide an emergency on-call radiography 24-hours-a-day... Health Visitor said that S was seen at the medical evidence that had! Throughout your 60 day catch-service period too hospital affiliations and more ' first T.

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