dr karl johnson radiologist, birmingham

endstream endobj 38 0 obj <>stream 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 note records both mother and grandmother as being present. HkBsD R#\#[(!$D(AyLgtJ%{mc8zA&+;*JV [a%4[)Er_'! S could not have been injured when in a bouncy chair from normal use. 941-697-3552. (S> $}=I% l S2QBC(*YMhTX^Gf=,HO)t}cg3F 0s/yGUu. He has co-authored over 35 peer reviewed papers. Rent and save from the world's largest eBookstore. 5. VOIT$=EfPuP^ AiiUw~,JZ%?rG?("S{t }p# y|!W7XQb,{*|p>'A7:#;p`Wnx n&Thb !pA}ifRh0$*W@~n0?Olgj;|TO^,WicR|WV2riRm- 1808 7th Ave S, Birmingham, AL, 35233 3 other locations (205) 934-3333 OVERVIEW Dr. Johnson graduated from the University of Pittsburgh School of Medicine,University of Pittsburgh School of. Yet even after the criminal case collapsed for lack of evidence and a family court finally decided that the parents posed no threat to their son, the couple were astonished to find that the names of the doctors who had given evidence against them were kept secret. S's Vitamin D levels were borderline on 2.11.11 and were never higher than insufficient. It is to be noted that at this time, 13 October 2011, the evidence is that S had already sustained factures of the left 8th and 9th rib and was likely to have sustained her left femoral fracture and fractures to the right and left tibia. Paradoxically, the last fracture-type injury in time to occur (in all probability), the left humeral fracture, was the first to be identified on 22 October 2011. The concerns of the local authority and the allegations raised against the family members arise from the appearance on X-ray scans first seen on 22nd October 2011 of a significant fracture to S's left upper arm. &/6kc`&EnFl! h~aka }mfh{p#P\fv}Clh+r9>XY7U&l5 tfL(h~)=O.szywUafH9!dN2-bs4XW+w2?b;NWNl 5ybc i20 V*a Qjff`# 2E,C\v{:]nJI'G,6]$kBEGs0XX'O-J(|- KTg}LzgNY Contents hosted on Doctuo should not be used as substitutes for professional medical advice, diagnosis or treatment. On 17 August 2011, S was taken to the clinic at 4 weeks old to be weighed. 4. Wanted a review(Under 'P') Discussed with Mum and Dad possible colic will continue withInfacol and see how she gets on over next week. '(&NJdsB. This person was born in December 1965, which was over 57 years ago. The Consultant Paediatrician, as the locum consultant paediatrician at the local NHS trust, described himself as a 'relatively recently qualified paediatric consultant.' No temperature. I have in particular noted the GP entry reports and the visits made by the parents for checks or routine appointments. 16. A week later William was placed on the council's child protection register. 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". @ $ lp-5v|v3+F;%`(E4Di Metaphyseal fracture of the proximal left tibia caused when (a) her left leg had been pulled and twisted by an adult carer; (b) any person present would be immediately aware she had suffered a significant injury with discomfort lasting several days. 42. EiSNZw_EQL{.y@^y|jJ%5* dN%] w;t|9"v@v(5>S@k 0 T- Akin, MD, Diagnostic Radio I found Professor Nussey to be highly knowledgeable in his field; careful; and able to consider and assist the court on all matters put to him. He trained in Paediatrics and Radiology in Cambridge and London, and was awarded a PhD in brain imaging in 2002 from the University of Cambridge. 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. Doctors, medical appointments, hospitals, medical staff. As for that visit on the 22 September, the Health Visitor said that S was not distressed as far as she could recall.18. * Panorama's Please Don't Take Our Child is broadcast on BBC One tomorrow at 8.30pm. 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. I never observed either parent react angrily towards each other or either child. The parents needed to be careful over his food, medicine and health. She is the radiology lead for child protection, rheumatology, orthopaedic and skeletal dysplasia multidisciplinary meetings at Alder Hey Childrens NHS Foundation Trust. Doctuo 2023 Last modification: 02-03-2023, Birmingham Children'S Hospital, Birmingham. 8. 10. 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. On examination, the left knee was "warmer to touch than the right, with mild erythema and swelling over the knee". Birmingham, 012 133 DR KARL JOHN JOHNSON is British and resident in England. The NPI Enumerator can be reached at (800) 465-3203 or P.O. 3. The injuries and range of dates are as follows. 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. At the time of these proceedings he was employed as a store manager. When to refer and why Dr Rajendranath Sinha, The Newcastle upon Tyne Hospitals NHS Foundation Trust The parents were unable to offer any explanations and had not observed any accidental events that may explain these injuries. The father completed a course in tourism management and completed a post-graduate degree in business management. Location Dr. Karl Johnson is a Consultant Paediatric Radiologist at Birmingham Children's Hospital, and has been there since 1998. 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". He has extensive experience and a mature knowledge of research done in this field. The court had no expert views on these aspects or on a number of potential issues relating to bone metabolism. 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. 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. 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. However, the father points out that there were times when S was sleeping in the bedroom; that T would leave the room where he was being supervised to get a toy or use the bathroom; and his case is that it is possible that he may have gone into the bedroom and caused S injury. The local authority sought findings that the injuries had occurred non accidentally with the parents and grandmother as possible perpetrators. The child appears by her children's guardian and has been represented by Miss Dixon. Attendance of the course includes access to the database of cases associated to this event on our server at PostDICOM. A number of strengths however have been identified during this short involvement. Recurrence is not in itself probative;iii. 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. 6. I came to the conclusion that I was unable to determine the case without further specialist expert evidence. The other parties to the case are S's parents, who are married. )_______________. courses@infomedltd.co.uk+44(0)20 4520 5081. On 22 September 2011, S is recorded as having the first of her immunisations at the Medical Centre. He denies causing any of the injuries and in turn denies the specific causation of each injury. But during the family court proceedings serious doubts were cast on Dr Johnson's evidence by other medical experts. He has a special interest in paediatric musculoskeletal disorders, in particular juvenile arthritis and non-accidental injury. The strong impression given is that the parents and maternal grandmother are careful, child-focused and conscientious parents who have demonstrated the quality of the attention they have given to dealing with T's special health needs and to S as they have arisen. However, the identities of the expert witnesses in the case remained shrouded in secrecy. The evidence from the Health Visitor is that she would have been undressed for weighing and placed in the scales by her parents. She weighed 6lbs 15 ozs (3.15 kg) at birth and was born by emergency Caesarean section. 45. Dr. Jackson's office is located at 2204 Lakeshore Dr . It was also noted that the parents were unsure how it had happened and there had been no recent accidents or falls. 5. 36. 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. 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. (10) His view was that it was likely that S was Vitamin D deficient in utero and in the early neonatal period. 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. The conclusions are positive. Thank you! In all sections, the value of all imaging modalities are stressed. 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. 11. 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 not possible to know which incidents or movements caused or gave rise to force sufficient to bring about fractures. This led to a referral by the consultant paediatrician from the local hospital to Social Services. Injuries to S could not have been caused by a person rolling onto her. 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. Nothing untoward is reported by the clinician who weighed her and the Health Visitor could not recall S as being unhappy.23. (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. ,(`df\CT&B6+c! The appearance and identification of the fractures themselves has only emerged after the examination of the x-rays by a number of clinicians. 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. Within each chapter there are three consistent sections. The particular issue of Vitamin D deficiency/insufficiency presents as the current medical frontier and arguably an expanding and uncertain one. 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