You cant have a serious injury to a babys brain happening even a day before the child deteriorates and goes into a coma. However, while her relationship with Sunil and Deborah Eappen had been at times strained - when, for example, they accused of staying out beyond a curfew - she had enjoyed working for them and was happy with the children. There is certainly, in retrospect, reasonable doubt. As part of the defense strategy, her attorneys requested that the jury not be given the option of convicting her of manslaughter a , and instead either convict her of murder or find her not guilty. Matthew died on February 10 of a brain hemorrhage.
If cells in the brain stem are among those damaged, the body may quickly lose control over heart rate, respiration, blood pressure, and temperature. A state judge Monday denied bail to a 19-year-old British au pair accused of murdering a nine-month-old boy left in her charge. She does take some comfort in the original verdict of guilty of murder in the second degree against Woodward, despite the judges later reduction of the charge to involuntary manslaughter. Carole Jenny, director of the Child Protection Program at Hasbro Childrens Hospital in Rhode Island, suggests that many more cases go unnoticed by the legal system and even by doctors trained to recognize them. He didnt question those teachings, he says, until soon after the Woodward trial when he learned more details of the case, such as that Matthew had a weeks-old wrist fracture.
In American English, popped suggests violence. Good-looking, bright, going places, in marrying each other they had overcome the prejudices of earlier generations and contributed eloquently to America's idealised vision of itself as the world's racial melting pot. In less serious cases, which can initially manifest as vomiting and mild seizures, shaken baby syndrome is even easier to miss. Without bruises, fractures, or accounts from witnesses, doctors must often rely on two clues to diagnose shaken baby syndrome, and both appear only under close examination. In America and, especially, in Britain Louise Woodward has been portrayed as the victim of a flawed judicial system, the Eappens as a couple desperate to taste vengeance for their baby's death. The trial, as Woodward had hoped, also set off a wave of new research. It was then, Cashin says, that the police told her the baby sitter had admitted to a state trooper to yanking Laura out of her high chair by one arm, and demonstrated how violently she shook her.
Ten years later, Sunil and Deborah Eappen are not convinced. Brain surgeon Joseph Medsen conceded the head injuries Matthew suffered could have been received days or even weeks before he was taken to hospital. The committee moved forward with procuring donations and established funding with the help of the Matty Eappen Foundation to develop what is today. For someone who claims eight years of research on the topic, he clearly misses the facts on abusive head trauma and the facts on the case of our son, Matty Eappen. Matty suffered a 2½-inch skull fracture, retinal and brain bleeding, and diffuse brain injury, findings consistent with abusive head trauma, where an angry or frustrated caregiver violently shakes an infant, often followed by blunt head trauma. Media coverage of the case was intense, nowhere more so than in Britain. So he was still expected to live the way he would have been expected to live in India, which would have been arranged marriage.
The boy's parents, Deborah and Sunil Eappen, had described in wrenching detail what it was like to say goodbye to their son before he was removed from life support. But when he had another seizure, the hospital referred him to specialists, who found injuries that suggested abuse. Barnes, who is now at Stanford university, was not the only one undergoing a change of heart. A grand jury voted to indict Louise Woodward for first-degree murder in the death of Matty after hearing testimony and reviewing evidence. In the courtroom, after all, it is the jury that makes the decision. Justice is a matter of their opinion, and thats one thing since the Woodward trial that hasnt changed. When personally questioned about this decision by the judge, she agreed with her lawyers.
Eappen is board certified in Ophthalmology. Audrey Edmunds, a baby sitter imprisoned for almost a decade for fatally shaking a 7-month-old girl in her care, will have her second set of hearings this month. The first, a distinct type of retinal bleeding, is a sign that Deborah Eappen, an ophthalmologist, saw for herself while her son lay in intensive care. The defense presented expert medical testimony that his injury may have occurred three weeks before the date of death, implying that his parents, Sunil and Deborah Eappen, both of whom were doctors, might be implicated in negligence or abuse of the child. Listening to angry voices on talk radio - sopranos and altos this time - isn't a good way to sustain my belief in even the skim milk of human kindness. And I will never know that.
Louise Woodward of Chester, England, already has been charged with assault and battery in the February death of Matthew Eappen. Yet many of the dissenters are well-credentialed doctors and their work has shaped medical knowledge of the syndrome, even if only by challenging mainstream doctors to defend their ideas. Louise Woodward's au pair agency will no longer pay her legal costs, her parents said Monday. There cant be a relaxed standard for one branch and not the other, he says. During the course of the examination, she was asked questions about whether she caused injury to Matthew while he was in her care on 4 February 1997.
The really important thing, she says, is that we know the truth, and the jury saw it. It made everybody aware that there were medical questions that needed further explanation. After so many years of grinding study, having accumulated large - and still unpaid - debts to get through medical school, she did not wish to abandon her career. Eappen is board certified in Ophthalmology. On February 4, 1997, Louise called an ambulance after Matthew Eappen stopped breathing. As it was, he died five days after he was admitted to the hospital. The other important thing to the Eappens now is preventing more cases.
Deborah and Sunil Eappen have found themselves enduring a public trial of their own, and the verdict on them differs from the one on Louise Woodward. He was put on a life support machine at Boston Children's Hospital. That is why she and her husband have been so brutally frank in their public condemnation of Louise Woodward. These people are often pathologists who dont have any clinical experience, says Reece. We went a long way to making sure they were heard and understood. One day the Eappens will be well-off, but for the moment they must remain content with inhabiting a three-bedroom, one-bathroom home built next to a busy highway that, by the standards of the leafy and costly suburb of Newton, almost qualifies as a shack. Once this breakdown begins, the brain cannot resist, and it fails.
Blake, who is close to the family, officiated at Marshs wedding to the girlfriend who stood by him during his 21 years in prison. The argument remains common in court and relies largely on biomechanical experiments. . Infuriated by what they perceive to be the caricature portrait of them painted in Britain, hurt by the poison they feel has been hurled at them from across the Atlantic, they have imposed a boycott on communications with the British news media. In the following years, though, he made a turnaround in his views that left many of his colleagues astonished. The defense challenged this, among other things, on the grounds that there were no neck injuries to him—injuries that they claimed would have been expected if he had been violently shaken.