The Evidence Based Medicine Conference and SBS / 591

The Evidence Based Medicine and Social Investigation Conference 2011, convened August 4, 5 and 6. There were approximately sixty registrants. Many others should have enjoyed the opportunity to dialogue with the guest presenters. There were helpful break and mealtime exchanges between experts and appreciative attendees. Perhaps this will be the first of many such conferences.

I attended the Friday morning sessions of the Conference. I arrived early enough to grab breakfast at a table where Mark Freeman, Patrick Barnes and Harold Buttram were seated and after a quick introduction I listened to their case stories. Mark Freeman spoke to the Conference on Thursday. Law is his second career.

EVIDENCE BASED MEDICINE - A CONFERENCE, HERE! / 545

PART TWO OF FIVE

CONFERENCE PRESENTERS AND THEIR TOPICS
In addition to Keynote Speaker, Christina England who was profiled in yesterday's post, the scheduled Evidence Based Medicine and Social Investigation Conference (EBMSI), August 4-6, will welcome a host of other international facilitators. The areas of their expertise will be informative to medical groups and law societies that have already received invitations. Additionally, parents and caregivers are invited for the relevant topics. 

Dr. John Plunkett: Anatomic Pathology & Clinical Pathology, Forensic Pathology from Hastings, MN Topic: The differential diagnosis for subdural hemorrhage and retinal hemorrhage in children under the age of two.

Dr. John Galaznik: Pediatrician, Alabama
Topic: The evolution of the AAP COCAN Position Statements from 2001 through the present

Dr. Horace B. Gardiner: Opthalmologist, Colorado Springs, Colorado
Topic : Shaken Baby: A syndrome that never was, never will be and never should have been. Sub Title: How ophthalmology contributed to a theory that has affected thousands.

Dr. Patrick Barnes: Pediatric Radiologist Palo Alto, CA
Topic: Medical Imaging in Brain Trauma and Metabolic Bone Disease

Dr. Harold Buttram: MD, FAACP Quakertown, PA

Dr. Chris Van Ee: Biomechanic, Detroit MI
Topic: Methods and Validation of Biomechanical Reconstruction of Infant Injury

Dr. Viera Sheibner: Slovakia Mark Freeman: Legal Counsel, PA
Topic: The Anatomy of Injustice. How those accused of medically diagnosed crimes are unjustly presumed guilty.

Zachary Bravos: Legal Counsel, Wheaton, Il

Ray Ferris: Retired Social Worker, Victoria, BC
Topic: Sense and Nonsense, Myth and Reality in Social Work and Child Protection

Doug Christie: Legal Counsel, Victoria, BC
Topic: The Balance of Power in child protection cases and the rubber stamp mentality.

Dr. Andrew Moulden: MD PhD, Toronto
Topic: Autism, SIDS/SUDC, infantile paralysis, aseptic encephalopathy, false allegations of shaken baby syndrome: Bringing a common denominator silent pathophysiological brain impairment process to clinical light – is germ theory incomplete?

Make sure that you take a look at the Conference Website

WHAT THIS POOR MOTHER HAS ENDURED/ Part 277 / For Love and For Justice / Zabeth and Paul Bayne/

If Judge Crabtree's ruling grants the MCFD its Continuing Care Order, it will effectively become a wrongful conviction of Paul and Zabeth Bayne, 'guilty' of abusing their youngest child, a seven week old daughter.

What am I talking about? That's preposterous! Judge Crabtree is not going to let the State have these children. He has already seen through the Ministry veneer to the shoddy case work. He has recognized the wretched gamesmanship that motivated a CCO application to dismantle this family. He knows what is in the best interests of these children. He has seen that the shaken baby diagnosis of the Baynes' youngest child falls short of being a conclusive foundation upon which a Ministry should mount a continuing care order to take three children away from biological parents. On Tuesday he watched and listened to Dr. Patrick Barnes, in my opinion the most articulate medical expert witness to date. Barnes disputed the finality of an SBS diagnosis in this Bayne case because in his mind the 2007 studies of Baby B point to something else. Further, it is his claim that this kind of error in diagnosis is responsible for numerous miscarriages of justice in the USA and Canada.

He reported that the skeletal findings strongly indicated the presence of a metabolic or dysplastic bone condition (e.g. congenital rickets) in Baby B. Such a condition is particularly prevalent in North America and usually associated with vitamin D deficiency in pregnant and breast feeding mothers and their infants. Such bony abnormalities readily respond to vitamin D supplementation or therapy and often resolve without showing the usual evolution / healing changes of fractures (e.g. callous). Barnes made it clear that the fluid collections in the baby's brain were chronic and weeks to months old. Those findings therefore were consistent with both a trauma of a difficult birth and with the impact head trauma of an older sibling falling on the infant which is what Paul and Zabeth reported. SBS need not have been the only cause and the one on which MCFD built its case.

Tuesday afternoon and all of yesterday Doug Christie led Zabeth Bayne by questions through a painful recounting of her prematurely born children and her contacts with the Ministry of Children. Her second child, a son, was born at 25 weeks. She told how when the child came home she and Paul invited numerous services into their home to advise them about infant development, feeding, muscle toning, developmental assistance and therapies. In early weeks they took the child for medical reviews several times per week and later once each week. Six months later around February 2006 lightening struck and the Ministry became involved with them. The second child was crying relentlessly in the car. Attending to him they found that an arm hung limply and a hospital visit revealed a fracture. Both parents were questioned. Paul was asked to leave his house for two weeks. A study identified prematurity of bones in the child and Paul was permitted to resume his role at home. But MCFD had a foot inside the door of this home.

The complexities within this case history are extraordinary. The circumstances, the complications, the intersections of people and agencies, the bad fortune and the interruptions and the pressures are overwhelming for everyone involved.

The Baynes moved from townhouse in Langley to a property and home in Hope, B.C. They struck up a friendship with a husband and wife at a church which they began to attend, (a couple named in court and in the court transcript and in CBC News). This was the testimony: Within months the casual friendship declined and became strained. Why? Zabeth's testimony was that tension occurred because of business competition - both women ran music schools. Zabeth taught music for years and planned to start one in her new home. Her new friend wanted Zabeth to teach out of her music school located in the church. She would be paid $10 per hour minus $2 for use of church space. On her own Zabeth earned $40 per hour so she declined and that issued in this response from the woman. “I'm going to bury you.” Zabeth stated that under oath and it is in the court transcript. On another occasion when Zabeth and her mother and their children were shopping in Walmart, they found themselves behind this same lady. She accused Zabeth of following her and complained to the RCMP swearing out a restraining order. Nothing more came of that. This husband and wife became two of the collateral witnesses that MCFD used early in the hearing.

Zabeth was pregnant with Baby B in October 2006. Because of grave concerns about prematurity, Zabeth was given a surgical procedure that required many months until birth. This family spent little time in sunshine and had little money for supplements such as Vitamin D. Earlier Dr. Patrick Barnes pointed out that this was a significant factor in the Baby's pre-birth and post birth development. Then on Aug 3, 2007 Baby B was born at 34 weeks at 5 lbs. 3oz and spent two weeks in an incubator and was losing weight. Parents spent every day with her in hospital as Zabeth's mother took care of the boys. She came home on Aug 17th and weighed 5 lbs 1 oz. There was concern about her weight from the start. Initially she seemed normal, was sleeping and feeding every two hours. She was taken for medical weigh ins every few days. On Sept 23rd their middle son fell on Baby B. She whimpered but no marks and injuries were obvious until within hours the baby's feeding dropped off. After doing all they could to attend to this vomiting listless baby they took her to Hope Hospital on Sept 26. This began a harried series of doctors, medical opinions, treatments, hospital transfers – Hope, Chilliwack and Abbotsford. Everything that they were told to do for her, the Baynes did. At some point during this post birth frenzy, court testimony indicates that the couple mentioned above, informed MCFD that they thought the Bayne children were small for their ages, the new baby listless and that Zabeth may be suffering from Munchausen syndrome. MCFD investigated. Then after many weeks of repeated visits to doctors without resolution, on October 18th after another visit to the local hospital she was transferred to B.C. Children's Hospital. There within a short time Dr. Colborne made her diagnosis. By October 21st MCFD was involved, social workers picked up the two sons and a social worker from Vancouver picking up Baby B. There was much more but that was the start of the lengthy tale that has also been conveyed in earlier posts on this blog.

Zabeth's testimony continued Wednesday and will possibly continue today and will include cross examination by Finn Jensen. Judge Crabtree made it clear yesterday that this hearing is going to conclude on Friday. Whether or not he will rule then is unknown.

10 EXPERTS WHO DISAGREE / Part 236 / For Love and For Justice / Zabeth and Paul Bayne/

Doctors' Reports on Baby B's Medical Case

I have provided a factual presentation of the medical reports by the physicians and medical experts related to the Baby B case in the early months of her medical crisis. Shaken Baby Diagnosis is a much disputed diagnosis within the medical community.

The MCFD case is relying almost exclusively upon an SBS diagnosis by a B.C. Children's Hospital Child Protection doctor. Other medical opinions were sought by the Bayne family following Dr. Colbourne's diagnosis of Shaken Baby Syndrome. No other opinions were sought by MCFD. Each medical doctor cited below and each scientist below reviewed the case of Baby B. Bayne.  Each analyst arrived at an identical conclusion which is that Baby B was not willfully harmed by a person.  It was not inflicted injury. These are the reports that the Baynes have listed on their website and made available to MCFD, to the media and to me. These opinion reports have been ignored or dismissed by MCFD. (Toggle each expert's name and find a full report)

Dr. John Plunkett

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John Plunkett, MD resides in Welch, Minnesota and is an expert in child forensic pathology. Dr. Plunkett has experience with many multiple SBS cases.

Dr. John Galaznik

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John Galaznik, MD is an an Alabama, USA pediatrician.  Dr. Galaznik is a fellow of the American Academy of Pediatrics.

Dr. Horrace Gardner

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Horrace Gardner, MD practices in Colorado.  Dr. Gardner is an opthalmology expert in shaken baby syndrome and has a specific interest in the ophthalmologic aspects of the SBS.

Dr. Michael Innis

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Michael Innis, MBBS, DTM&H, FRCPA, FRCPath is a doctor of medicine in Australia who specializes in forensic pathology. 

Dr. Peter Stephens

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Peter Stephens, MD is a published pathologist born in England, graduated from medical school in Canada and resides in the U.S., and acted as senior medical advisor for the (U.S.) FAA.

Dr. Harry Bonnell

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Harry Bonnell, MD is a forensic pathologist in San Diego, California.  Dr. Bonnell is a medical school graduate of Georgetown University with certification in anatomic and forensic pathology.

Dr. Kenneth Monson

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Kenneth Monson, PhD, is assistant professor of mechanical engineering at the University of Utah.

Dr. John Butt

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John Butt, MD is an anatomical and forensic pathologist, having graduated medical school in Alberta, Canada.  Dr. Butt holds a diploma in medical jurisprudence (pathology), London.

 Dr. Chris Van Ee

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Chris Van Ee, PhD is an award winning published presenter and Duke grad with a Ph.D. in Biomedical Engineering.  Dr. Ven Ed has been a reviewer for many scientific organizations.

Dr. Patrick Barnes

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Patrick Barnes, MD is chief of pediatric neuroradiology, director of pediatric MRI and CT, professor of radiology; Lucile Packard Children's Hospital, Stanford Medical Center.