Alexa's Medical Information


“Expert opinion is only an ordinary guess in evening clothes.”
Justice Curtis Bok
Pennsylvania Supreme Court

“All that glitters is not GOLD”
Gregory Smith
Attorney at Law

Below you will find a summary of all medical info. The mistakes, which there was many, and the experts' opinions.


December 18th
Alexa' was seen for blood in her stool 2 nights ago. Mother switched her formula from Similac to Isomil. Mother asks about bruising. (the mother claimed she was told Alexa' just had varicose veins and not to worry as long as they went away.)

December 19th
Alexa' was seen for a follow up where the doctor noted she did well overnight. (Nick took her to this appointment he was told she had a virus.)

December 21st
In Alexa's records there is a report stating that Alexa' had fine pustular melanosis, (others specified congenital anomalies of skin) See info on main web page for definitions of this notation.

January 21st 12am
The mother takes Alexa' to the doctor. She made it clear to Nick that it was because she wouldn't keep her feedings down. She never mentioned concern about the earlier incident where Alexa' may have been jumped on. When she arrives at the hospital she the chief complaint is notated as follows: “Mother states, “she was sitting on couch and father 2 days ago and sibling fell on top of her.” Not sure if anything is wrong.”

Doctor notated that the mother said 3 days ago child may have been jumped on. He notes that Alexa' is completely content when held. He takes X-rays and discharges Alexa' at 0418. A healthy and spoiled baby. (the mother said he rolled his eyes after saying Alexa' was spoiled from being held.)

Alexa' was discharged with several old rib fractures not caught on the X-ray at the military hospital. These rib fractures were not caught by this hospital until after Alexa' stops breathing at home 54 minutes after leaving the ER.

January 21st 0514
911 is called because Alexa stops breathing. The ambulance takes her to Gateway hospital. Here they find the overlooked broken ribs. No notation about new fractures was made.

Below was all taken from the records
“There may be a mild cardiac enlargement. There may be an infiltration, particular in the right base.”
“Severely limited examination with the possible right lower lobe infiltration.”

At 0604 the hospital notes they are still, “bagging baby placed on baby warmer.”

At 0714 Alexa' was Life Flighted to Vanderbilt Hospital
Mistakes Made
Vanderbilt misses the skull fracture

Reports retinal hemorrhages (autopsy findings say she did not have retinal hemorrhages.) Shaking an infant or small child may cause other injuries, such as damage to the neck, spine, and eyes. Eye damage is very common and may result in loss of vision (retinal hemorrhage). Reference:http://www.nlm.nih.gov/medlineplus/ency/article/000004.htm**
Does not research the intraosseous line in Alexa's right tibia. (Could have been a sign of brittle bones.)
One report on the skeletal survey reports the fracture in Alexa's left tibia and the other reports it in the right, both reports were completed by different parties.

Findings
Respiratory Failure/Brain death
Subdural hemorrhage
Subarachnoid hemorrhage
Cerebral infarcts
Multiple rib fractures—Healing
Retinal hemorrhages
Tibial fracture---Healing

Severe Shaken baby was diagnosed. ( Dr's are trained to diagnose Shaken Baby when there is no other explanation for the child's brain injury. But they miss the skull fracture. Dr Hain still takes the stand with his “HE” testimony saying Nick had to have shaken Alexa' and demonstrated hitting her head against a surface. But in fact they did not know about the skull fracture until after the autopsy and Alexa' did not have retinal hemorrhages, if Alexa' had in fact been shook the way Dr Hain explained there would have been retinal hemorrhages. This is according to the Dr's and research.)

“No definite skull fracture is seen.”
“There is no bruising over the extremities noted. There is a small bluish bruise over her left eyebrow.”
“There are no obvious scalp marks or contusions. There are no skull fractures.”

Dr Paul Hain
“Given the age of the fractures of the ribs and tibia, and the head injury that must have occurred in the last 24 hours this child has been a victim of abuse both in the last day and some point in the past.” (The time frame left equal opportunity for either parent to have hurt Alexa' with no physical evidence. This statement did not fit the prosecutions theory that Nick snapped in the 20 minutes he had his daughter in his care. The Dr claimed there was more then one occasion of abuse.)

(Dr Paul Hain testified against Nick and tried to narrow the time frame, by saying, “She would have been immediately symptomatic,” but when asked to state a specific time frame results to saying, “I have no Crystal Ball.”)

The Autopsy

Multiple Blunt Force Injuries

A. Patterned contusion on the forehead and right arm
B. Bilateral subgaleal hemorrhages
C. Linear Fracture of the occipital bone with dilated suture lines of the skull
D. Subdural and subarachnoid hemorrhage, bilateral
E. Severe cerebral edema with dilated ventricles.
F. Acute hemorrhage around the right and left optical nerves.
G. Recent and Old rib fractures (The recent fractures were not found by Vanderbilt and could have been from the heart donation.)

Organ donation—heart surgically removed.

Definitions
Contusion: a bruise or an injury of a part without the break in the skin.
Occipital Bone: The bone forming the rear (and rear bottom) of the skull.
Hemorrhage: The escape of blood through the vessels, bleeding.
Edema: Swelling

“There is no evidence of retinal hemorrhage.” (Against the findings of Vanderbilt)
“The cross sections of both eyes reveal normal eye structures without evidence of retinal hemorrhage.”

“There is a slightly enlarged soft, movable lymph node in the neck.” (The Medical Examiner did not remove the enlarged lymph node and test it. It could have had answers to whether or not Alexa' had some kind of disease or reaction to a vaccine.)

**Dr Gerber sat in on the the heart donation and autopsy.**

If you do not think this could happen to you read the information below. Visit links and do research on false allegations of child abuse. It is a growing epidemic in The US and all over the world. Medical mistakes can cost you your freedom and even your life, even your child's life.  Nick sits in prison now charged with failing to protect his daughter wondering if she was murdered or if she died naturally. One day he had it all, the next he had lost it all. His life changed in just two seconds.


Shaken Baby Syndrome
-the vaccination link-
Many infants who suffer the so-called 'shaken baby syndrome' may be victim of undiagnosed vaccine damage.
http://www.nexusmagazine.com/shakenbaby.html

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