Saturday, June 2, 2012

Parents appeal child custody ruling

By Nicole Montesano
Of the News-Register
 


A local couple is appealing a judge's ruling that removed their two children from their home, after the younger one, a newborn, was found to have suffered multiple broken bones.
Attorneys for Daniel and Linda Dossey argued at trial that they believed their five-week-old infant son suffered broken ribs in a difficult delivery, and that a hospital doctor later broke the infant's leg during an examination, because the infant suffered from rickets, a vitamin D deficiency causing bones to become brittle.
The baby had been taken to the emergency room on the advice of a nurse contacted over a call line, after the parents noted he was holding one leg oddly and had seemed "fussy" for about 24 hours. When doctors X-rayed the infant, they discovered the injuries. That triggered removal of the infant and toddler-aged sister from the home.
In January, the state held a three-week trial to determine whether the children should be returned to their parents or remain in foster care.
Yamhill County Circuit Judge Cal Tichenor, who presided, found in favor of the state. But he encouraged the parents to work with the state Department of Human Services on the potential return of the children at some point.
So far, no criminal charges have been filed. However, prosecutor Ladd Wiles said police have been asked to investigate.
Since the trial, the baby's maternal grandfather, Jim Dossett, has been waging a public campaign on behalf of his daughter and son-in-law, arguing that the children should be returned to their parents.
Dossett says he doesn't believe the baby was ever abused.
Medical witnesses for the prosecution testified at trial that the infant had suffered fractures of three ribs and the left arm bone, all in various stages of healing when they were X-rayed, in addition to the leg fracture. They said he did not have rickets, or any other brittle bone disease.
Dr. Thomas Valvano, director of the Department of Pediatrics at the Oregon Health SciencesUniversity, testified that the ribs had cracked in both the back and front. He said such injuries are most often caused by squeezing of the chest area with sufficient force.
Dossett, and defense attorneys at the trial, blame the cracked ribs on a difficult delivery, during which the baby had to be turned in the womb to avoid a Cesarean section.
The infant was not X-rayed at birth. But the attending physician, Dr. Barker, said any delivery injuries should have manifested themselves as in injuries to the shoulders or collarbone, not the ribs.
The issue was complicated by the fact the radiologist who examined the X-rays said she could not determine when the fractures had occurred, only that they were at least two weeks old.
Dossett argues that Vitamin D tests might have failed to show a deficiency because the infant had already begun taking Vitamin D supplements five days before the tests were performed.
In his ruling, Judge Tichenor noted that a number of character witnesses for the defense, including Dossett, with whom the couple was living at the time, testified they believed the couple to be loving, caring parents who did not show anger toward either child. He also noted that staff who examined the infant at his "well-baby" examination, and his circumcision, did not observe any signs of trauma.
The defense also called a medical doctor and radiologist, David Ayoub, who testified by telephone from Illinois about his theory that neonatal rickets is often misdiagnosed as child abuse.
However, Tichenor said the parents had no explanation for the leg break, beyond speculation it might have been caused by an emergency room doctor, and concluded Ayoub's testimony was "based on his own personal untested medical opinion."
Tichenor said he found "the evidence presented in this case clearly establishes that the child did not suffer from rickets or other fragile bone disease," "there is no reliable medical evidence that would explain these injuries other than trauma," and "there is no reliable explanation how this trauma could have occurred to (the infant) through any accidental means while under the exclusive care and control of his parents."
Tichenor did not find the parents necessarily caused the injuries.
"The evidence does not establish exactly what caused the injury to (the infant), or who or what may have been the source of the force producing the injuries," he wrote. "However, it is clear that one or both of the parents knows or should have known more about the facts and circumstances surrounding the injuries ... than have been related."


http://newsregister.com/article?articleTitle=parents-appeal-child-custody-ruling--1338649846--3633

2 comments:

  1. So the judge made an illegal ruling. If he doesn't know what happened why did he rule in favor of the state? Doesn't that go against preponderance of evidence? And if there is a medical condition than why does the judge think that it isn't relevant? Finally, why doesn't this family have their son back??? Insanity in the legal system. If a family doesn't show any signs of abusing their son, why don't they have their son!!!

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  2. I know a little bit about this case. Why didn't the reporter point out that Dr Ayoub had 27 years experience? And that he was 100 % sure that it was neonatal rickets. Why didn't the reporter let it be known that on the stand two Doctors, one with 16 yrs exp.(a pediatrician) and the other with 31 yrs exp.(an emergency medicine Dr)thought that without bruising or other attendant outside visible signs of trauma, something other than abuse could be the cause. The judge describes the injuries as occurring from trauma. How does he explain the lack of outside evidence of trauma ? Was Dr. Barker asked if bones effected by a metabolic condition could be broken during delivery? It sounds like he was only referring to healthy bones. The reporter said "The vitamin D tests failed to show a deficiency". Not sure where the reporter got that from. The vitamin D level was deficient after the supplementation (it was 20.7).Anything under 21 is deficient. The state's pediatrician started the infant on high dose vitamin D supplementation just 5 days before the vitamin D test). What would the level had been without supplementation? The judge states that "the evidence presented clearly shows that the infant did not suffer from rickets or other fragile bone disease" Blood tests were lost by the hospital that diagnosed abuse. Many metabolic disease diagnosis rely on blood tests. If blood tests were not able to be brought before the judge as evidence,he should not have been able to make that statement. Two other things. 1) The daughter was never removed from the home. 2)I agree with the other commenter, that the judge made an illegal ruling. You would have to have evidence ( a preponderance of it) that showed that you did it or knew how it happened. Stating that they "should have know" is not evidence, just speculation!

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