DR KARL JOHN JOHNSON is a Consultant Radiologist from Birmingham. 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. He was earnest, straightforward and did not quibble with the questions although he did not always understand the question. Her mother is D, represented by Mr Jayatilaka. The guardian also represented the other child of the family T, who was born on 14th February 2008. )_______________. 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. (2) I note his evidence that there is no uniformity of Vitamin D testing in the United Kingdom and that Vitamin D is difficult to measure. 44. If there is some innate contradiction in that sentence it appears that the latter part of that sentence represents the stronger conclusion. On Thursday 20 October 2011 S was brought to the GP surgery by the parents and given her immunisation injections, in each thigh, by the Health Visitor. Contents hosted on Doctuo should not be used as substitutes for professional medical advice, diagnosis or treatment. The Father said in evidence that when the hospital phoned on Monday morning, his wife told them that S was "fine".21. NS>zu=/_jwJa:S Find Dr. Jackson's phone number, address, hospital affiliations and more. %PDF-1.6 % 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 : . In the course of surveying the 'wide canvas' of evidence I have reviewed the evidence of the mother, the father and the grandmother. The maternal grandmother had not witnessed T intentionally being rough or boisterous towards S and had not witnessed him attempting to hold S or pick her up. The case against the Wards also relied on the view of Dr David Vickers, a community paediatrician, that if no obvious explanation could be found for an injury then child abuse was likely. 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 Health Visitor produced her records in evidence and explained that on such an occasion, the parents would undress the child and lay her on the changing mat or if the baby was being weighed, on the scales. 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. A number of strengths however have been identified during this short involvement. Dr. Helen Williams is a full time general paediatric radiologist, and has special interests in cross-sectional imaging, feeding studies and radiology training. 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. 03. Recurrence is not in itself probative;iii. 51. A revised care plan was approved for the rehabilitation of S to the care of her parents. 16. 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. 55. She was between the 25th and 50th centiles for weight, and maintained the usual track after the usual loss of weight in the first week. 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. The responses of the parents and the cases which they have put before the court appear in summary form on the Scott Schedule. On examination, the left knee was "warmer to touch than the right, with mild erythema and swelling over the knee". 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. 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. The parents/grandparent who did not inflict the injuries on each occasion to S failed to protect her. She obtained her MBBS while working at Oldchurch Hospital, Essex and trained as a radiologist in Sheffield. There can be no criticism that it has pursued these allegations as vigorously as it has, even if at the end of the day they have failed to satisfy me that the case is proved. I take note also that the mother and father completed a parenting assessment. 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. 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. 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. It is reasonable to conclude that they were lower before then because she was breastfed. This company officer is, or was, associated with at least 1 company roles. The Judge was satisfied that neither the mother, father, nor grandmother could be held responsible for causing the injuries. Stream every session from the webinar for up to 90 days. colic/reflux." an improved understanding of Paediatric imaging interpretation and reporting skills. The Judge formed the strong impression that the parents were careful, child focused parents who had demonstrated good quality parenting dealing with S's older sibling.The Judge took into account the evidence of an endocrinologist who opined that the absence of radiologically identifiable rickets did not mean there were no rickets. He stated that on the Saturday morning, at bath time, the grandmother noticed her left arm was swollen and tender and she cried when being dressed or undressed. The father's responses set out a general defence to each allegation setting a number of relevant points that formed part of his evidence. I have also noted in relation to the injuries that it is 'always open to a judge to rule that the cause of the injury remains unknown' and the case of Re R (Care proceedings: causation) [2011] EWHC 1715, a decision of Mr Justice Hedley. This is case-based course designed for all General Radiologists and Radiologists based at the DGHs who are increasingly having to report paediatric imaging, an opportunity to attend a complete update of the main key topics on 3 consecutive days a complete CPD package. 11:00-11:30 Imaging of arthritis Dr Emma Rowbotham, Leeds Teaching Hospitals NHS Trust 12:00-12:30 Common paediatric MSK conditions Dr Karl Johnson, Birmingham Children's Hospital NHS Foundation Trust 12:30-13:00 Soft tissue and bone lesions. She said: "How could we celebrate that someone has decided you didn't hurt your child when you know all along you didn't? 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.' Companies associated with this officer had at least 253,361 shareholder value in recent accounts. 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. 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. 3.o-VR;+lZsA30PK#>] FP+irJBp%MU :g I{,8fVn|aQY/,E/sa8Cd8sfhD5wGtkE4*8*q0zW,7(Ic It is positive that Children's Services have no history of involvement with this family and furthermore the family have no history of involvement with the police. Left knee is swollen, feels hot and tender. Left upper arm fracture, a spiral fracture of the distal shaft of the left humerus (16th-19th October 2011). Nothing untoward is reported by the clinician who weighed her and the Health Visitor could not recall S as being unhappy.23. 14. S's father is represented by Miss Deschampneufs. 32. Dr. Karl Johnson is a Consultant Paediatric Radiologist at Birmingham Children's Hospital, and has been there since 1998. Birmingham B15 2TG, Birmingham Children's Hospital The record concludes with the GP's comment "All well. You will maintain your access to the resource throughout your 60 day catch-service period too. 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. EiSNZw_EQL{.y@^y|jJ%5* dN%] w;t|9"v@v(5>S@k 0 T- 36. I have noted the reference to Lancashire County Council v B [2000] AC 147. On being released on bail they were immediately suspended from their jobs. 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. S had only been in the house with the parents, grandmother and T. Investigations were put in hand. He therefore accepts that these fractures would have occurred while S was in their joint care. Dr. Karl Johnson is a Consultant Paediatric Radiologist at Birmingham Children's Hospital, and has been there since 1998. Amaka lectures regularly on various radiology, paediatric, genetic, emergency medicine and orthopaedic courses, locally and nationally. there is a stage of rickets before it is identifiable radiologically. They both appear to value education and a need to promote this ethos with their children. 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. 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. 4. Torus fractures can result from a fall, from a direct blow, or from indirect forces applied to the limb when the leg is gripped and forcibly bent, a force well in excess of normal day to day handling of an infant. 09. 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