DR KARL JOHN JOHNSON is British and resident in England. She said: "How could we celebrate that someone has decided you didn't hurt your child when you know all along you didn't? However, the medical professionals did not note any problems with S on 20th October 2011 despite Dr Fairhurst's dating of the fracture between 16th October 2011 and 19th October 2011. Karl John Johnson Radiologist Steelhouse Lane, B4 6Nh, Birmingham, England. . The Judge formed the view that the maternal grandmother was seeking to assist the Court in her evidence. 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. It was the maternal grandmother's view that her daughter and son-in-law did not injure S. The maternal grandmother also mentioned that she had cared for her own children, relatives and grandchildren and was capable of ensuring that children are properly and safely cared for. 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. 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. 1808 7th Ave S, Birmingham, AL, 35233 3 other locations (205) 934-3333 OVERVIEW Dr. Johnson graduated from the University of Pittsburgh School of Medicine,University of Pittsburgh School of. Judge Isobel Plumstead finally concluded that Mr and Mrs Ward presented no threat to William, declaring in her judgement: "There is no cogent evidence that these parents injured their son.". 3. The parents needed to be careful over his food, medicine and health. S could not have been injured when in a bouncy chair from normal use. He has a special interest in paediatric musculoskeletal. 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". 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. Aged 20 in December 1999, she had married the father just before he came to England She joined him in this country in October 2003. Gordon Jeyes, director of children's services at Cambridgeshire county council until this year, defended his department's decision to press ahead with its application to remove William from his parents' care. It was inevitable, that the local authority had to bring this case to court. When Victoria and Jake Ward saw their baby son crying and refusing to feed, they took him to their doctor. She moved back to London, to Great Ormond Street Hospital and the Institute of Child Health, where she obtained a PhD for her thesis, Optimisation of the digital radiographic imaging of suspected non-accidental injury, then returned to Sheffield as a HEFCE-funded Clinical Senior Lecturer in the Academic Unit of Child Health. 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. I come to the conclusion that Dr Fairhurst's evidence as to the identification of the injuries is, taken as a whole, and in the light of all the evidence and my acceptance of Dr Fairhurst's evidence in her own field of specialism, reliable and acceptable. I have taken account of the fact that she gave her evidence through an interpreter while having at least a working grasp of English. Based primarily on the evidence of Dr Fairhurst, the local authority has levelled a broad spread of allegations against the three adults in the household at the material time the mother, father and grandmother. 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. The mother, father and grandmother all said that Infacol did eventually help for a time before her crying became worse again.15. She was discharged home, with instructions to the parents to phone on Monday [19th] to have her reviewed or returned if they were concerned, and to re-present her over the weekend if her temperature, swelling or redness of the leg increased, if she was unsettled or if her feeding reduced. He denies causing any of the injuries and in turn denies the specific causation of each injury. A number of strengths however have been identified during this short involvement. He has extensive experience and a mature knowledge of research done in this field. The parents did not mention the previous weekend's symptoms or the trip to the hospital on 13 October 2011.24. Any specialty 17. On the contrary, the evidence appears to demonstrate that the parents had the wellbeing of S in mind and acted to seek medical attention. 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. The fact finding hearing began on 23rd March 2012, but on the second day of it, on 26th March, I adjourned the hearing having encountered significant problems on two fronts after hearing evidence from Dr Fairhurst, the health visitor, and the Consultant Paediatrician. Upper limb rheumatology/radiology MDT: . 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. She was accompanied by both parents. The Judge was satisfied that neither the mother, father, nor grandmother could be held responsible for causing the injuries. Finding of Fact Hearing in Respect of a Number of Fractures Sustained by S aged 3 months, On 13 October 2011 S was taken to hospital by her parents with a swelling to her left knee. Mrs A Jester Because William's parents were unable to explain the fracture the hospital deemed the case suspicious and called in social services. Metaphyseal bucket-handle fracture of the distal right radius caused when (a) her right wrist had been pulled and twisted by an adult carer; (b) any person present would be immediately aware she had suffered a significant injury. 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. 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. The father said in oral evidence that S developed a pattern of crying after 3 to 4 weeks old, particularly in the evenings. 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 family's nightmare began one night in July 2005 when, at three months old, William woke up in pain. The parents/grandparent who did not inflict the injuries on each occasion to S failed to protect her. In relation to the spiral fracture of the distal shaft of the left humerus, the local authority allege that S's arm has been gripped and twisted by an adult carer; she would have shown immediate distress lasting 10-15 minutes; any regular carer would have noticed a change in her behaviour as a result of the fracture with discomfort which would last for up to a week. It was only fair, in my judgment, to communicate those to the parties as soon as possible with my reasons in a primary judgment with a fuller judgment to follow to bring the period of waiting for the result to an end for the family as well as for other parties. The first section lists common clinical presentations, the differential causes and the appropriate imaging pathways needed to confirm the diagnosis, with recent imaging advances for each condition. 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. On the balance of probability T could not have caused the injuries to S. 16. Consultant Paediatric Radiologist, Chair of Paediatric Musculoskeletal Imaging, Chair, University of Sheffield's Black, Asian, and other Minority Ethnic (BAME) Staff Network, University of Sheffield and Sheffield Children's Hospital. Birmingham B15 2TG, Birmingham Children's Hospital But during the family court proceedings serious doubts were cast on Dr Johnson's evidence by other medical experts. On 3 August 2011, S and the mother were seen at home by the Community Nurse, and the record shows that the mother had no concerns. Read full profile Dr Khushnood Alam Consultant Radiologist Biography pending. The fractures of the ribs require considerable force and well in excess of day to day handling or even rough play. %%EOF There were evident deficiencies in translation by the interpreter. 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 left tibia fracture was likely to have occurred between 3rd and 10th October and the likely time frame for the left humeral fracture was between 16th and 19th October. Dr Caren Landes obtained her medical degree from the University of Birmingham in 1997 and was appointed a Consultant Radiologist at Alder Hey Childrens NHS Foundation Trust in 2006 and has been Clinical Lead for Radiology since 2012. 18. 52. Torus fracture of the distal left femur caused by (a) her left leg being gripped and forcibly bent; (b) she would have shown distress for 15 minutes and would have shown discomfort when the leg was moved; discomfort would have lasted for several days. A diagnosis of OI (osteogenesis imperfecta) is exceptionally unlikely. The X-ray revealed a spiral fracture of the left humerus. 20. 34. There was an additional right wrist fracture which was difficult to date. 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. What followed next led, eventually, to the diagnosis of a fracture in S's left upper arm. You will maintain your access to the resource throughout your 60 day catch-service period too. (10) His view was that it was likely that S was Vitamin D deficient in utero and in the early neonatal period. The father states that S cried more than usual and that this was reported to medical professionals on 20th October 2011 and 22nd October 2011. Mr Johnson and Dr Vickers declined to comment. Our imaging courses are very much an interactive experience. Only now, three years later, have the Wards managed to draw a line under the affair by forcing the name of the key expert witness to be made public. 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 If no better, to review or sooner at any time if concerns'. BSc, MBBS, MRCP, FRCR, PhD, FHEA You'll get immediate feedback and learning points from our expert faculty member. The GP note for 20 October 2011 records "First meningitis vaccination. (9) He anticipated that S's level was 30-35 when she was born, not adequate and markedly deficient. Country She was described as remaining "settled in A&E, observations in normal range, apyrexial." This person was born in December 1965, which was over 57 years ago. Said that Infacol did eventually help for a time before her crying worse! 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