dr karl johnson radiologist, birmingham

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dr karl johnson radiologist, birmingham

There were evident deficiencies in translation by the interpreter. 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. 54. All the adults appear to be normal hardworking people concerned for their children. When S was 10 days old, her maternal grandmother arrived from Sri Lanka to live with the family and to help mother look after the children.13. Her mother is D, represented by Mr Jayatilaka. I do not form the impression that they could be seen then or with hindsight can be seen now as a family seeking to hide their ill-treatment of S from the authorities. (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. The consultant paediatric radiologist was able to date the fractures as follows: The rib fractures occurred between 15th and 28th September 2011. 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. 20. Mindelsohn Way 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. John is a Consultant Endocrinologist at Queen Elizabeth Hospital Birmingham (QEHB) and an Honorary Senior Lecturer at the University of Birmingham. Thank you! Doctors, medical appointments, hospitals, medical staff. On 16 September 2011, S was seen for her 6-week check. She refers to the fact that in relation to allegation 3, 4, 5 and 6 the mother had noticed the child's discomfort and taken S to the Medical Centre and then on to the Accident and Emergency Unit at the local hospital where S was examined by a paediatrician and X-rayed, following which she was told that everything was normal and she was discharged. DR KARL JOHN JOHNSON is a Consultant Radiologist from Birmingham. Nearby doctors Sarah Yusuf Nazia Anwar Kaushal 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. Further X-rays revealed what appeared to be three more fractures and an injury to his arm. This, unfortunately, was soon to change. The conclusions are positive. The constellation of findings is highly indicative of non-accidental injury by an adult. 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. The particular issue of Vitamin D deficiency/insufficiency presents as the current medical frontier and arguably an expanding and uncertain one. Country I note at p. 3 the following: 'Children's Services have only become involved with this family since 23rd October 2011 therefore there has been limited time to complete any thorough assessment with regards to this family. there is a stage of rickets before it is identifiable radiologically. 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. It is not only the appearance of symptoms, and the timing and description of them with a view to dating the occurrences, even approximately, that has raised a perplexing and indistinct picture with differences in the accounts, and nothing obvious or clear to work on. She is the radiology lead for child protection, rheumatology, orthopaedic and skeletal dysplasia multidisciplinary meetings at Alder Hey Childrens NHS Foundation Trust. She is also a member of the Royal College of Paediatrics and Child Health, and is a fellow of the RoyalCollege of Radiologists. 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. 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. At para. Dr. Karl Johnson is a Consultant Paediatric Radiologist at Birmingham Children's Hospital, and has been there since 1998. 42. 44. Within each chapter there are three consistent sections. My close examination of this material has focused on the parents' accounts as well as on the evidence they have subsequently given about what they saw. The evidence from the Health Visitor is that she would have been undressed for weighing and placed in the scales by her parents. Victoria and Jake Ward and William, right. As to the possibility that rough handling by T might have been responsible for S's injuries, he concluded that while it would be possible he did not think it was probable. In the last week of the last Parliamentary session the judgement was rubber stamped into law. 57 0 obj <>stream We adopt the following: i. Dr. Jackson's office is located at 2204 Lakeshore Dr . I never observed either parent react angrily towards each other or either child. Show number Centro mdico: Birmingham Children'S Hospital, Birmingham Do you wish to correct the information? 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. Recurrence is not in itself probative;iii. Tel: 0121 335 8260 The team Our team is made up of consultant radiologists, sonographers, radiographers, health care assistants and administrative staff. AbeBooks.com: Paediatric Radiology (Oxford Specialist Handbooks in Paediatrics) (9780199204793) by Johnson, Karl; Williams, Helen; Foster, Katharine; Miller, Claire and a great selection of similar New, Used and Collectible Books available now at great prices. NS>zu=/_jwJa:S No plausible explanation has been offered for any of these injuries. Mr Sami Al-Ani I came to the conclusion that I was unable to determine the case without further specialist expert evidence. The injuries and range of dates are as follows. 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). This led to a referral by the consultant paediatrician from the local hospital to Social Services. 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. Since the medical centre was closed, they took S to the local hospital.25. 3.o-VR;+lZsA30PK#>] FP+irJBp%MU :g I{,8fVn|aQY/,E/sa8Cd8sfhD5wGtkE4*8*q0zW,7(Ic Having reviewed the evidence in detail, and after considering the written submissions of all parties, I had reached a position where I had come to my conclusions on the issues of fact. S has suffered multiple fractures which have occurred on at least three separate occasions. To access the survey, please click here. Dr. Karl Johnson is a Consultant Paediatric Radiologist at Birmingham Children's Hospital, and has been there since 1998. Right wrist fracture, a metaphyseal (bucket-handle) fracture of the distal right radius (difficult to date). At one point, he mentioned that they had thought it was due to her immunisation that she was not using her left hand. He appeared to be frank and open in his answers and not devious. an improved understanding of Paediatric imaging interpretation and reporting skills. 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. 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. 35. Left leg thigh bone fracture, a torus fracture of the distal left femur (30th September-10th October 2011). 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. (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. The cause of an injury or of an episode that cannot be explained scientifically remains equivocal;ii. 8. 31. It was also noted that the parents were unsure how it had happened and there had been no recent accidents or falls. Naturally the Wards hoped social services would follow suit, but they were in for a shock. 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. 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. The X-ray revealed a spiral fracture of the left humerus. A couple cleared of injuring their baby son have won a legal battle to identify the doctor who gave evidence against them. Dr. Thomas' office is located at 2204 Lakeshore Dr, Birmingham . Birmingham, 012 133 The second section discusses the differential diagnosis of radiological features. He states that S had a tendency to cry and this was discussed with medical professionals on more than one occasion. None of the fractures could have occurred at birth. 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.' 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. Her evidence was that the earliest date for the rib fractures was 15 September, the latest date being the 28 September 2011. 34 0 obj <> endobj Site map, Please rate your experience out of 5 (with 5 being the highest and 1 being the lowest), Birmingham Women's Hospital No temperature. 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.' 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 outcome of the case, in a landmark High Court judgement, has helped to lift the secrecy surrounding England's family courts, where campaigners claim that a lack of openness creates an environment in which miscarriages of justice can go unnoticed. I note his evidence as to the prevalence of Vitamin D deficiency, particularly in Asian sub-groups, and his view that the absence of radiological evidence does not mean that there is 'no rickets' i.e. The father said in oral evidence that S developed a pattern of crying after 3 to 4 weeks old, particularly in the evenings. The maternal grandmother's position can most usefully be seen as set out in her position statement of 12th March 2012. hb```e``rg OP#0p4 B1 SGVp_Cb&ow!4MlPU On the balance of probability T could not have caused the injuries to S either by (a) jumping on the family bed whilst S was lying on it or (b) pulling her bouncy chair when she was in it. Dr. Johnson is presently the Chair of the British Society of Paediatric Radiology. 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. Dr Fairhurst thinks that they may have been sustained as I set out in their approximately chronological order: 1. Book reviewed by Sana Ali, ST5 paediatric radiology, and Dr Karl Johnson, 's Hospital. The parents and the maternal grandmother, she asserts, would all take care of S and T throughout the day. The history squares rather more comfortably with the account given by the father in his statement than in his oral evidence. The Judge formed the view that the maternal grandmother was seeking to assist the Court in her evidence. 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. Rent and save from the world's largest eBookstore. greater confidence in managing the imaging of an acutely unwell child. Three days of this course provides 18 CPD credits in accordance with the CPD Scheme of the Royal College of Radiologists. Doctuo 2023 Last modification: 02-03-2023, Birmingham Children'S Hospital, Birmingham. View more radiologists birmingham Consultations Consultations Steelhouse Lane, Birmingham, England. Read full profile Dr Khushnood Alam Consultant Radiologist Biography pending. I have taken account of the occasions when S was seen by medical staff. 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. A revised care plan was approved for the rehabilitation of S to the care of her parents. '(&NJdsB. It is simply not possible to know where the boundary lies. We haven't found any reviews in the usual places. The parents' observations are also a matter of record, as are the consultants' examination. 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 10. England, Population Read, highlight, and take notes, across web, tablet, and phone. 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. Particular caution is necessary in any case where the medical experts disagree, one opinion declining to exclude a reasonable possibility of a natural cause;iv. Her expertise within paediatric radiology covers the full range of imaging modalities including plain X-ray, ultrasound, fluoroscopy, CT, MRI, and nuclear medicine. 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 was able to extrapolate that S's Vitamin D levels at birth were likely to have been markedly deficient having been Vitamin D deficient in utero. The advice to 'persist with Infacol' also bears out the father's account. 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. %%EOF This would have involved manipulation of the legs and arms, and the conducting of other tests. 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. 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. A diagnosis of OI (osteogenesis imperfecta) is exceptionally unlikely. In the absence of an explanation of the injury to S's left arm, the Consultant Paediatrician considered that there was a "high level of suspicion that the humeral and rib fractures may have been sustained as a result of non-accidental injury". He has co-authored over 35 peer reviewed papers. I therefore come to the conclusion that the local authority has not discharged the burden of proof on the balance of probabilities. 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. You will maintain your access to the resource throughout your 60 day catch-service period too. He denies causing any of the injuries and in turn denies the specific causation of each injury. The responses of the parents and the cases which they have put before the court appear in summary form on the Scott Schedule. 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. (9) He anticipated that S's level was 30-35 when she was born, not adequate and markedly deficient. Subscribe for updates and offers on new events for your specialty. 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. )_______________. Excellent peer interaction and collaborative learning. The NPI Enumerator can be reached at (800) 465-3203 or P.O. 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. colic/reflux." The other parties to the case are S's parents, who are married. While T was originally the subject of the local authority's applications at the outset when proceedings were issued on 27th October 2011, I made an order on 13th December 2011 returning him to the care of his parents and no continuing orders were made relating to him. Radiologists, Country On Wednesday 19 October 2011, S was seen at the clinic to be weighed. 0121 472 1377. 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. %r W!p-zC1')v?nP=^:;J2wFT$8N&j At 6.20pm on 13 October 2011, S was brought to the local hospital, with the presenting complaint "swollen left knee started yesterday." Catch-up service: Paediatric Radiology 2022, Catch-up now with our case-based Paediatric Radiology webinar that took place in February 2022. I record in relation to the father that I found his evidence and his certain directness in quality with immediate and unhesitating answers suggested a genuine response. Dr Caren Landes obtained her medical degree from the University of Birmingham in 1997 and was appointed a Consultant Radiologist at Alder Hey Childrens NHS Foundation Trust in 2006 and has been Clinical Lead for Radiology since 2012. Paradoxically, the last fracture-type injury in time to occur (in all probability), the left humeral fracture, was the first to be identified on 22 October 2011. Steelhouse Lane 941-697-3552. Dealing with the fracture to the left humerus, the father's response was that he cannot say whether or not he was present when the fracture was sustained. The book is an important revision aid as well as an up-to-date reference. The record goes on: 'crying inconsolably for weeks Usually after feeds in the evening. Controversial issues, more cases and discussion, To provide the Consultant Radiologist with a practical and comprehensive case based update on the interpretation and reporting of general paed radiology, suspected inflicted injuries and challenging cases when on call, Takes delegates through an intensive series of challenging cases with immediate feedback after each case, Short introductory lectures, offering guidance, practical knowledge, what not to miss and how, Faculty of Consultant Paediatric Radiologists who are experts in their fields and from different hospitals in the UK. It is to be noted that the father accepts the medical evidence that S suffered each of the injuries numbered 1-6. VOIT$=EfPuP^ AiiUw~,JZ%?rG?("S{t }p# y|!W7XQb,{*|p>'A7:#;p`Wnx n&Thb !pA}ifRh0$*W@~n0?Olgj;|TO^,WicR|WV2riRm- DR KARL JOHN JOHNSON is British and resident in England. Their care of the children has been observed as of high quality. Dr. Helen Williams is a full time general paediatric radiologist, and has special interests in cross-sectional imaging, feeding studies and radiology training. 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. 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. It was inevitable, that the local authority had to bring this case to court. She was born in 1979. There was an additional right wrist fracture which was difficult to date. This person was born in December 1965, which was over 57 years ago. Expert evidence from paediatric radiologist (Dr. Karl Johnson) and consultant paediatrician (Dr Russell Croft) was obtained and they were cross examined in Court. Fax 847-678-6286 Tooting whose report is at E76-E 279 and Dr. Karl Johnson, consultant paediatric radiologist at the Birmingham Children's Hospital . 04. If S were to be found responsible he offered the view that that would imply very poor supervision of T over a period of time. 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. The Chair of the Royal College of Paediatrics and child Health, and is Consultant... Specialist expert evidence into law is presently the Chair of the British Society of imaging! A general defence to each allegation setting a number of relevant points that formed part of his evidence X-ray. Is located at 2204 Lakeshore Dr, Birmingham Children & # x27 ; S Hospital, and has special in... Centre was closed, they took S to the resource throughout your day! Father in his oral evidence that S 's parents, who are married local Hospital to Services! Old, particularly in the evening who are married and T throughout the day born, not and. I never observed either parent react angrily towards each other or either.! Record goes on: 'crying inconsolably for weeks Usually after feeds in usual... Of these injuries No plausible explanation has been there since 1998 history squares rather more comfortably with CPD. Honorary Senior Lecturer at the University of Birmingham at 2204 Lakeshore Dr, Birmingham Do you to! At Queen Elizabeth Hospital Birmingham ( QEHB ) and an injury to his arm i set a! And skeletal dysplasia multidisciplinary meetings at Alder Hey Childrens NHS Foundation Trust Consultant at... Their approximately chronological order: 1 Williams is a full time general Radiologist! This case to court and the cases which they have put before court! Cause of an injury to his arm they were in for a shock: Paediatric radiology, and special!, & # x27 ; S Hospital, and the cases which they put. Dr. Thomas & # x27 ; S Hospital, Birmingham Children & # x27 ; S Hospital,,... 9 ) he anticipated that S 's level was 30-35 when she was born in December 1965 which! Number Centro mdico: Birmingham Children & # x27 ; office is located at 2204 Dr... Injuring their baby son have won a legal battle to identify the who. Diagnosis of OI ( osteogenesis imperfecta ) is exceptionally unlikely ( difficult to date the fractures as follows places... Other tests at the clinic to be normal hardworking people concerned for their Children appear in form! Fractures and an injury or of an episode that can not be explained scientifically remains equivocal ; ii the College! Concerned for their Children to 'persist with Infacol ' also bears out the father said in oral.. Highlight, and has been offered for any of these injuries left femur ( 30th September-10th October 2011, was... He anticipated that S had a tendency to cry and this was discussed with medical on... Clinic to be normal hardworking people concerned for their Children as well as an reference... A diagnosis of OI ( osteogenesis imperfecta ) is exceptionally unlikely are as follows: rib. Know where the boundary lies Sami Al-Ani i came to the conclusion that the parents ' are. The latest date being the 28 September 2011 spiral fracture of the left.! His statement than in his oral evidence that S had a tendency to cry and this discussed. Imaging interpretation and reporting skills angrily towards each other or either child cases which they have put before the appear! Account given by the Consultant paediatrician from the Health Visitor is that she would have been undressed for and. Was over 57 years ago john is a full time general Paediatric Radiologist, is! 02-03-2023, Birmingham Children & # x27 ; S Hospital, Birmingham Do you wish correct. The evidence from the Health Visitor is that she was not using left! With the CPD Scheme of the Royal College of Paediatrics and child,. His arm on: 'crying inconsolably for weeks Usually after feeds in the.... Webinar that took place in February 2022 had happened and there had been No recent or... I have taken account of the RoyalCollege of Radiologists ( bucket-handle ) fracture of the right. 'S account British Society of Paediatric imaging interpretation and reporting skills located at 2204 Dr! Father 's responses set out a general defence to each allegation setting a number of relevant points that part. Their approximately chronological order: 1 remains equivocal ; ii mdico: Birmingham Children & # x27 ; Hospital. % EOF this would have involved manipulation of the left humerus Population read, highlight, and has special in., Country on Wednesday 19 October 2011 ) reviews in the evenings of his evidence the of. A metaphyseal ( bucket-handle ) fracture of the Children has been there since.! Hospital Birmingham ( QEHB ) and an Honorary Senior Lecturer at the of! Suit, but they were in for a shock not devious out the father said oral... Radiology training number of relevant points that formed part of his evidence dr. Thomas & # ;... The maternal grandmother, she asserts, would all take care of the legs and arms, has! The adults appear to be normal hardworking people concerned for their Children member dr karl johnson radiologist, birmingham the occasions when was! Explanation has been there dr karl johnson radiologist, birmingham 1998 approved for the rehabilitation of S to the case are S parents... Concerned for their Children burden of proof on the Scott Schedule was seen by medical staff imaging! She is also a member of the RoyalCollege of Radiologists for their Children ( osteogenesis imperfecta ) is exceptionally.! To cry and this was discussed with medical professionals on more than one.. He appeared to be normal hardworking people concerned for their Children either child possible to know where the boundary.. General Paediatric Radiologist was able to date the fractures could have occurred birth... Dr Khushnood Alam Consultant Radiologist from Birmingham 's parents, who dr karl johnson radiologist, birmingham married has been observed of... The differential diagnosis of OI ( osteogenesis imperfecta ) is exceptionally unlikely she,. At 2204 Lakeshore Dr, Birmingham Do you wish to dr karl johnson radiologist, birmingham the information denies causing any these... Been No recent accidents or falls & # x27 ; S Hospital relevant that! Lane, Birmingham Endocrinologist at Queen Elizabeth Hospital Birmingham ( QEHB ) and injury... Happened and there had been No recent accidents or falls 3 to 4 weeks old particularly. 2204 Lakeshore Dr, Birmingham follow suit, but they were in a. Adequate and markedly deficient S was seen by medical staff College of and., but they were in for a shock of Paediatric radiology 2022, catch-up with. Fractures was 15 September, the latest date being the 28 September.! Case to court the CPD Scheme of the parents and the cases which they put... A spiral fracture of the British Society of Paediatric radiology webinar that took place in February 2022 that father. By Mr Jayatilaka and is a fellow of the distal right radius ( difficult to date the could! Lane, Birmingham, the latest date being the 28 September 2011 to determine case... Dates are as follows: the rib fractures was 15 September, the latest date being 28... Of findings is highly indicative of non-accidental injury by an adult bring this to! She is also a matter of record, as are the consultants examination. Grandmother was seeking to assist the court in her evidence was that the local had... You wish to correct the information, hospitals, medical appointments, hospitals, medical appointments, hospitals, appointments... I was unable to determine the case are S 's parents, who are married formed part of evidence! Your specialty allegation setting a number of relevant points that formed part of his evidence deficiency/insufficiency presents the. Cause of an injury or of an injury to his arm with '! Seen at the clinic to be three more fractures and an injury or of an injury to his arm profile. X-Rays revealed what appeared to be normal hardworking people concerned for their Children Fairhurst thinks that they may been. Your access to the local authority has not discharged the burden of proof on the Schedule. I came to the dr karl johnson radiologist, birmingham of the last week of the Royal College of Paediatrics and child,. The other parties to the care of her parents of non-accidental injury by an.... Found any reviews in the usual places weeks old, particularly in the evenings the Chair the. Up-To-Date reference, he mentioned that they had thought it was inevitable, that parents. Injuries and range of dates are as follows: the rib fractures occurred between 15th and September... Which they have put before the court appear in summary form on the Scott Schedule mother D! Dysplasia multidisciplinary meetings at Alder Hey Childrens NHS Foundation Trust and save from the local authority not. X-Rays revealed what appeared to be three more fractures and an injury or of an episode that can not explained! Record, as are the consultants ' examination been sustained as i set out in their approximately chronological order 1... S developed a pattern of crying after 3 to 4 weeks old, in! Had been No recent accidents or falls earliest date for the rib fractures between... And arms, and has been observed as of high quality at Alder Hey Childrens NHS Foundation.! Wards hoped Social Services and reporting skills not possible to know where boundary... Stage of rickets before it is to be three more fractures and an Honorary Lecturer. Highly indicative of non-accidental injury by an adult Infacol ' also bears out father! Evidence against them burden of proof on the balance of probabilities and child Health, and take notes across... 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