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I believed in Shaken Baby Syndrome until science showed I was wrong | Waney Squier | TEDxWandsworth


I’m a mother a grandmother a pathologist

I’m a mother a grandmother a pathologist and a scientist and I want to tell you

and a scientist and I want to tell you

and a scientist and I want to tell you Linda’s story Linda and James had a baby

Linda’s story Linda and James had a baby

Linda’s story Linda and James had a baby boy called Tom he was Linda’s third baby

boy called Tom he was Linda’s third baby

boy called Tom he was Linda’s third baby and when he was about four months old

and when he was about four months old

and when he was about four months old she was alone with him one night I think

she was alone with him one night I think

she was alone with him one night I think many of you may have looked after young

many of you may have looked after young

many of you may have looked after young children at some time your own children

children at some time your own children

children at some time your own children or grandchildren or when babysitting or

or grandchildren or when babysitting or

or grandchildren or when babysitting or sometimes you feel alone with them well

sometimes you feel alone with them well

sometimes you feel alone with them well this particular night James is working

this particular night James is working

this particular night James is working and Linda became concerned about Tom’s

and Linda became concerned about Tom’s

and Linda became concerned about Tom’s breathing so she phoned her doctor and

breathing so she phoned her doctor and

breathing so she phoned her doctor and she said I woke up to give him his feed

she said I woke up to give him his feed

she said I woke up to give him his feed and I found he wasn’t breathing

and I found he wasn’t breathing

and I found he wasn’t breathing not until I picked him up and lifted him

not until I picked him up and lifted him

not until I picked him up and lifted him out of his cot and then he was fine and

out of his cot and then he was fine and

out of his cot and then he was fine and he’s right as rain now but the doctor

he’s right as rain now but the doctor

he’s right as rain now but the doctor decided to visit anyway he found Linda a

decided to visit anyway he found Linda a

decided to visit anyway he found Linda a calm and experienced mother he examined

calm and experienced mother he examined

calm and experienced mother he examined baby Tom who had a mild fever and was a

baby Tom who had a mild fever and was a

baby Tom who had a mild fever and was a bit snuffly but he found nothing in us

bit snuffly but he found nothing in us

bit snuffly but he found nothing in us and he concluded there’s nothing

and he concluded there’s nothing

and he concluded there’s nothing seriously wrong so he left but there was

seriously wrong so he left but there was

seriously wrong so he left but there was something wrong because an hour later

something wrong because an hour later

something wrong because an hour later Linda found Tom unconscious he wasn’t

Linda found Tom unconscious he wasn’t

Linda found Tom unconscious he wasn’t breathing he had no pulse so she called

breathing he had no pulse so she called

breathing he had no pulse so she called an ambulance and he was rushed to

an ambulance and he was rushed to

an ambulance and he was rushed to hospital and put on a life-support

hospital and put on a life-support

hospital and put on a life-support machine a consultant paediatrician

machine a consultant paediatrician

machine a consultant paediatrician examined Tom and found he had bleeding

examined Tom and found he had bleeding

examined Tom and found he had bleeding in the retin that was the membrane at

in the retin that was the membrane at

in the retin that was the membrane at the back of the eyes a brain scan showed

the back of the eyes a brain scan showed

the back of the eyes a brain scan showed he had a thin film of blood in the dura

he had a thin film of blood in the dura

he had a thin film of blood in the dura the membrane that surrounds the brain

the membrane that surrounds the brain

the membrane that surrounds the brain and the brain was swollen he had just

and the brain was swollen he had just

and the brain was swollen he had just those three things nothing else but 24

those three things nothing else but 24

those three things nothing else but 24 hours later tom was dead and Linda was

hours later tom was dead and Linda was

hours later tom was dead and Linda was arrested and charged with killing her

arrested and charged with killing her

arrested and charged with killing her baby at a trial Linda was described as a

baby at a trial Linda was described as a

baby at a trial Linda was described as a woman of good character a caring and

woman of good character a caring and

woman of good character a caring and careful mother she said she’d done

careful mother she said she’d done

careful mother she said she’d done nothing to harm Tom but she couldn’t

nothing to harm Tom but she couldn’t

nothing to harm Tom but she couldn’t explain why he’d collapsed but doctors

explain why he’d collapsed but doctors

explain why he’d collapsed but doctors medical experts said that those three

medical experts said that those three

medical experts said that those three findings meant that Tom must have been

findings meant that Tom must have been

findings meant that Tom must have been violently shaken sometime after the

violently shaken sometime after the

violently shaken sometime after the doctor had left the house the

doctor had left the house the

doctor had left the house the amenda guilty and she was sentenced to

amenda guilty and she was sentenced to

amenda guilty and she was sentenced to three years in prison a few years later

three years in prison a few years later

three years in prison a few years later she appealed and her conviction was

she appealed and her conviction was

she appealed and her conviction was overturned so she’s been innocent all

overturned so she’s been innocent all

overturned so she’s been innocent all along her name was cleared but her life

along her name was cleared but her life

along her name was cleared but her life was ruined her parents had died and

was ruined her parents had died and

was ruined her parents had died and James had left her and because she was

James had left her and because she was

James had left her and because she was in prison when tom was buried nobody

in prison when tom was buried nobody

in prison when tom was buried nobody told her so she was denied the

told her so she was denied the

told her so she was denied the opportunity of attending her own son’s

opportunity of attending her own son’s

opportunity of attending her own son’s funeral that’s not all while Linda was

funeral that’s not all while Linda was

funeral that’s not all while Linda was on bail awaiting her trial she became

on bail awaiting her trial she became

on bail awaiting her trial she became pregnant and she gave birth to a little

pregnant and she gave birth to a little

pregnant and she gave birth to a little girl Lucy when she was in prison

girl Lucy when she was in prison

girl Lucy when she was in prison Lucy was immediately taken away and

Lucy was immediately taken away and

Lucy was immediately taken away and placed for adoption

placed for adoption

placed for adoption and even when her name was cleared her

and even when her name was cleared her

and even when her name was cleared her conviction overturned Linda was not

conviction overturned Linda was not

conviction overturned Linda was not allowed to make contact with her

allowed to make contact with her

allowed to make contact with her daughter she lost all and now she lost

daughter she lost all and now she lost

daughter she lost all and now she lost Lucy as well this is not a dystopian

Lucy as well this is not a dystopian

Lucy as well this is not a dystopian nightmare this is a true story

nightmare this is a true story

nightmare this is a true story and it’s the story that is repeated

and it’s the story that is repeated

and it’s the story that is repeated day-in day-out all over the world in the

day-in day-out all over the world in the

day-in day-out all over the world in the United States some two-and-a-half

United States some two-and-a-half

United States some two-and-a-half thousand people are in prison five of

thousand people are in prison five of

thousand people are in prison five of them on death row awaiting their

them on death row awaiting their

them on death row awaiting their execution in this country we hear the

execution in this country we hear the

execution in this country we hear the story hundreds of times every year in

story hundreds of times every year in

story hundreds of times every year in our course it’s heard him Sweden in

our course it’s heard him Sweden in

our course it’s heard him Sweden in France in Australia New Zealand and what

France in Australia New Zealand and what

France in Australia New Zealand and what all of these stories have in common is

all of these stories have in common is

all of these stories have in common is that a doctor has made the diagnosis of

that a doctor has made the diagnosis of

that a doctor has made the diagnosis of shaken baby syndrome in Linda’s case I

shaken baby syndrome in Linda’s case I

shaken baby syndrome in Linda’s case I was one of those doctors as the

was one of those doctors as the

was one of those doctors as the paediatric neuropathologist I studied

paediatric neuropathologist I studied

paediatric neuropathologist I studied the brains of babies who’ve died

the brains of babies who’ve died

the brains of babies who’ve died hoping to find out why the police asked

hoping to find out why the police asked

hoping to find out why the police asked me to examine Tom’s brain which I did it

me to examine Tom’s brain which I did it

me to examine Tom’s brain which I did it was swollen nothing out of the ordinary

was swollen nothing out of the ordinary

was swollen nothing out of the ordinary but that fitted with what the other

but that fitted with what the other

but that fitted with what the other doctors were saying in this case shaken

doctors were saying in this case shaken

doctors were saying in this case shaken baby syndrome they believed in it and I

baby syndrome they believed in it and I

baby syndrome they believed in it and I believed in it so my report was part of

believed in it so my report was part of

believed in it so my report was part of the evidence that cost Linda so much

what is shaken baby syndrome central to

what is shaken baby syndrome central to it is a young baby who presents with one

it is a young baby who presents with one

it is a young baby who presents with one or more of those three features that Tom

or more of those three features that Tom

or more of those three features that Tom heard known together as the try

heard known together as the try

heard known together as the try of retinal hemorrhages subdural

of retinal hemorrhages subdural

of retinal hemorrhages subdural hemorrhage and a swollen brain remember

hemorrhage and a swollen brain remember

hemorrhage and a swollen brain remember that word triad because I’m going to be

that word triad because I’m going to be

that word triad because I’m going to be using it again there are many causes for

using it again there are many causes for

using it again there are many causes for the triad

the triad

the triad but historically it was associated with

but historically it was associated with

but historically it was associated with trauma now these babies have no evidence

trauma now these babies have no evidence

trauma now these babies have no evidence of trauma they have no head impact no

of trauma they have no head impact no

of trauma they have no head impact no fractures no bruises

fractures no bruises

fractures no bruises so the shaken baby hypothesis depends on

so the shaken baby hypothesis depends on

so the shaken baby hypothesis depends on the assumption that shaking is the cause

the assumption that shaking is the cause

the assumption that shaking is the cause and that shaking can generate enormous

and that shaking can generate enormous

and that shaking can generate enormous forces equivalent to a fall from a

forces equivalent to a fall from a

forces equivalent to a fall from a second-story window or a road traffic

second-story window or a road traffic

second-story window or a road traffic accident and what’s more the shaking

accident and what’s more the shaking

accident and what’s more the shaking event is never witnessed and its effects

event is never witnessed and its effects

event is never witnessed and its effects are almost always immediate so with this

are almost always immediate so with this

are almost always immediate so with this hypothesis it’s easy to identify the in

hypothesis it’s easy to identify the in

hypothesis it’s easy to identify the in the perpetrator it’s the person who was

the perpetrator it’s the person who was

the perpetrator it’s the person who was alone with the baby and to abort him for

alone with the baby and to abort him for

alone with the baby and to abort him for medical care the idea that shaking might

medical care the idea that shaking might

medical care the idea that shaking might cause the triad was first proposed back

cause the triad was first proposed back

cause the triad was first proposed back in the early 70s by a small group of

in the early 70s by a small group of

in the early 70s by a small group of doctors in the United States it wasn’t

doctors in the United States it wasn’t

doctors in the United States it wasn’t based on research studies but on

based on research studies but on

based on research studies but on anecdotal reports an article in Newsweek

anecdotal reports an article in Newsweek

anecdotal reports an article in Newsweek and speculation nobody’s then had ever

and speculation nobody’s then had ever

and speculation nobody’s then had ever witnessed a normal baby being shaken and

witnessed a normal baby being shaken and

witnessed a normal baby being shaken and developed the triad and nobody Hurst to

developed the triad and nobody Hurst to

developed the triad and nobody Hurst to this day so you might be wondering as I

this day so you might be wondering as I

this day so you might be wondering as I did have such a tenuous hypotheses

did have such a tenuous hypotheses

did have such a tenuous hypotheses hypothesis could ever have been accepted

hypothesis could ever have been accepted

hypothesis could ever have been accepted well back then those doctors were deeply

well back then those doctors were deeply

well back then those doctors were deeply concerned that parents might be harming

concerned that parents might be harming

concerned that parents might be harming their babies and absolutely rightly so

their babies and absolutely rightly so

their babies and absolutely rightly so because some parents do so NORs were

because some parents do so NORs were

because some parents do so NORs were introduced across the United States

introduced across the United States

introduced across the United States requiring doctors to report even a mere

requiring doctors to report even a mere

requiring doctors to report even a mere suspicion of abuse failure to do so

suspicion of abuse failure to do so

suspicion of abuse failure to do so could result in prosecution on the other

could result in prosecution on the other

could result in prosecution on the other hand when doctors do report something as

hand when doctors do report something as

hand when doctors do report something as a bit of abuse they granted immunity

a bit of abuse they granted immunity

a bit of abuse they granted immunity from prosecution even if their report is

from prosecution even if their report is

from prosecution even if their report is unfounded or totally false

unfounded or totally false

unfounded or totally false also reports the abuse went from tens to

also reports the abuse went from tens to

also reports the abuse went from tens to hundreds of thousands a year and the

hundreds of thousands a year and the

hundreds of thousands a year and the shaken baby hypothesis grew from an idea

shaken baby hypothesis grew from an idea

shaken baby hypothesis grew from an idea of speculation into a syndrome and that

of speculation into a syndrome and that

of speculation into a syndrome and that syndrome is taught as fact in the

syndrome is taught as fact in the

syndrome is taught as fact in the textbooks and in medical schools

textbooks and in medical schools

textbooks and in medical schools well this was nearly 50 years ago so by

well this was nearly 50 years ago so by

well this was nearly 50 years ago so by now you’re probably thinking that

now you’re probably thinking that

now you’re probably thinking that researchers must have found the evidence

researchers must have found the evidence

researchers must have found the evidence base to support this hypothesis but they

base to support this hypothesis but they

base to support this hypothesis but they haven’t

haven’t

haven’t it wasn’t even tested until 1987 when

it wasn’t even tested until 1987 when

it wasn’t even tested until 1987 when biomechanical studies showed that adults

biomechanical studies showed that adults

biomechanical studies showed that adults shaking a crash-test dummy as long and

shaking a crash-test dummy as long and

shaking a crash-test dummy as long and as hard as they could

as hard as they could

as hard as they could generated only half the forces of her 1

generated only half the forces of her 1

generated only half the forces of her 1 foot fall no that’s not even as much as

foot fall no that’s not even as much as

foot fall no that’s not even as much as a baby rolling off a bed clearly we

a baby rolling off a bed clearly we

a baby rolling off a bed clearly we can’t do these biomechanical experiments

can’t do these biomechanical experiments

can’t do these biomechanical experiments on babies but we can learn by observing

on babies but we can learn by observing

on babies but we can learn by observing the world around us some of you might

the world around us some of you might

the world around us some of you might remember that many years ago we used to

remember that many years ago we used to

remember that many years ago we used to put young babies in forward-facing car

put young babies in forward-facing car

put young babies in forward-facing car seats

seats

seats if those cars were involved in head-on

if those cars were involved in head-on

if those cars were involved in head-on collisions the babies suffered enormous

collisions the babies suffered enormous

collisions the babies suffered enormous whiplash but case studies of those

whiplash but case studies of those

whiplash but case studies of those babies showed they didn’t have didn’t

babies showed they didn’t have didn’t

babies showed they didn’t have didn’t try had they had fractures and

try had they had fractures and

try had they had fractures and dislocations in the neck in 2001 Jenny

dislocations in the neck in 2001 Jenny

dislocations in the neck in 2001 Jenny and Geddes and neuropathologist and

and Geddes and neuropathologist and

and Geddes and neuropathologist and colleague in London showed that the

colleague in London showed that the

colleague in London showed that the brain damage in babies alleged to have

brain damage in babies alleged to have

brain damage in babies alleged to have been shaken was not due to traumatic

been shaken was not due to traumatic

been shaken was not due to traumatic tearing of the nerve fibers of the brain

tearing of the nerve fibers of the brain

tearing of the nerve fibers of the brain as we’re deformed but it’s due to lack

as we’re deformed but it’s due to lack

as we’re deformed but it’s due to lack of oxygen that’s something that seen in

of oxygen that’s something that seen in

of oxygen that’s something that seen in babies dying from all sorts of natural

babies dying from all sorts of natural

babies dying from all sorts of natural conditions and indeed it’s seen in

conditions and indeed it’s seen in

conditions and indeed it’s seen in babies who have collapsed and died who

babies who have collapsed and died who

babies who have collapsed and died who are being nursed on a ventilator right

are being nursed on a ventilator right

are being nursed on a ventilator right baby Tom a few years later brain scans

baby Tom a few years later brain scans

baby Tom a few years later brain scans showed us that almost half of normal

showed us that almost half of normal

showed us that almost half of normal newborn babies have subdural hemorrhage

newborn babies have subdural hemorrhage

newborn babies have subdural hemorrhage a similar number have retinal hemorrhage

a similar number have retinal hemorrhage

a similar number have retinal hemorrhage so two of the cardinal features of

so two of the cardinal features of

so two of the cardinal features of shaken baby syndrome are common in

shaken baby syndrome are common in

shaken baby syndrome are common in normal babies after normal birth these

normal babies after normal birth these

normal babies after normal birth these two findings are also seen in babies

two findings are also seen in babies

two findings are also seen in babies dying from a whole range of natural

dying from a whole range of natural

dying from a whole range of natural conditions as well as minor accidents

conditions as well as minor accidents

conditions as well as minor accidents and low Falls so if we turn to the

and low Falls so if we turn to the

and low Falls so if we turn to the medical literature for evidence to

medical literature for evidence to

medical literature for evidence to support this hypothesis we find it’s

support this hypothesis we find it’s

support this hypothesis we find it’s riddled with errors mostly due to

riddled with errors mostly due to

riddled with errors mostly due to circular logic and poor case definition

circular logic and poor case definition

circular logic and poor case definition at the end of last year an independent

at the end of last year an independent

at the end of last year an independent authority in Sweden published its review

authority in Sweden published its review

authority in Sweden published its review of more than 3,700 papers and found only

of more than 3,700 papers and found only

of more than 3,700 papers and found only two that offered any support to the

two that offered any support to the

two that offered any support to the hypothesis that shaking causes the Triad

hypothesis that shaking causes the Triad

hypothesis that shaking causes the Triad to

to

to nearly 4,000 papers and only two offered

nearly 4,000 papers and only two offered

nearly 4,000 papers and only two offered any support and those two were both

any support and those two were both

any support and those two were both found to be of only moderate scientific

found to be of only moderate scientific

found to be of only moderate scientific quality so today as I stand here I am

quality so today as I stand here I am

quality so today as I stand here I am sure that shaking can harm babies and we

sure that shaking can harm babies and we

sure that shaking can harm babies and we certainly shouldn’t shake babies but

certainly shouldn’t shake babies but

certainly shouldn’t shake babies but nearly 50 years of research has failed

nearly 50 years of research has failed

nearly 50 years of research has failed to provide us with the justification to

to provide us with the justification to

to provide us with the justification to make the assumption that a baby has a

make the assumption that a baby has a

make the assumption that a baby has a triad or any one of its components must

triad or any one of its components must

triad or any one of its components must have been shaken so that leaves us with

have been shaken so that leaves us with

have been shaken so that leaves us with a hypothesis that it seems is not fit

a hypothesis that it seems is not fit

a hypothesis that it seems is not fit for purpose but diagnosis or in the

for purpose but diagnosis or in the

for purpose but diagnosis or in the courts in the courts it gets a bit more

courts in the courts it gets a bit more

courts in the courts it gets a bit more complicated back in 2001 the Geddes

complicated back in 2001 the Geddes

complicated back in 2001 the Geddes research stopped me in my tracks

research stopped me in my tracks

research stopped me in my tracks it wasn’t what I had expected so I read

it wasn’t what I had expected so I read

it wasn’t what I had expected so I read everything I could about shaken baby

everything I could about shaken baby

everything I could about shaken baby syndrome and as a scientist I’m ashamed

syndrome and as a scientist I’m ashamed

syndrome and as a scientist I’m ashamed to admit to you I hadn’t done so before

to admit to you I hadn’t done so before

to admit to you I hadn’t done so before I’d been making this diagnosis on the

I’d been making this diagnosis on the

I’d been making this diagnosis on the basis of my uncritical acceptance of

basis of my uncritical acceptance of

basis of my uncritical acceptance of what was in the textbooks and what I had

what was in the textbooks and what I had

what was in the textbooks and what I had been taught I was startled to learn that

been taught I was startled to learn that

been taught I was startled to learn that there was no scientific foundation with

there was no scientific foundation with

there was no scientific foundation with a hypothesis the triad is merely a

a hypothesis the triad is merely a

a hypothesis the triad is merely a function of immaturity it’s the infant

function of immaturity it’s the infant

function of immaturity it’s the infant brains response to a whole range of

brains response to a whole range of

brains response to a whole range of different conditions so what I had been

different conditions so what I had been

different conditions so what I had been taught was wrong what I believed was

taught was wrong what I believed was

taught was wrong what I believed was wrong and importantly what I had been

wrong and importantly what I had been

wrong and importantly what I had been telling the courts was wrong so I had to

telling the courts was wrong so I had to

telling the courts was wrong so I had to change my mind having given evidence

change my mind having given evidence

change my mind having given evidence with the police in Linda’s first trial

with the police in Linda’s first trial

with the police in Linda’s first trial I gave evidence to support her in her

I gave evidence to support her in her

I gave evidence to support her in her appeal I wasn’t on my own but my voice

appeal I wasn’t on my own but my voice

appeal I wasn’t on my own but my voice was certainly now in a minority but

was certainly now in a minority but

was certainly now in a minority but changing my mind

changing my mind

changing my mind turned the tables on me back then in the

turned the tables on me back then in the

turned the tables on me back then in the criminal courts judges and jurors were

criminal courts judges and jurors were

criminal courts judges and jurors were also questioning the hypothesis and

also questioning the hypothesis and

also questioning the hypothesis and we’re tending to to acquit parents

we’re tending to to acquit parents

we’re tending to to acquit parents accused of shaking their babies but in

accused of shaking their babies but in

accused of shaking their babies but in the family course the courts that decide

the family course the courts that decide

the family course the courts that decide typically behind closed doors where

typically behind closed doors where

typically behind closed doors where their mothers like Linda can keep their

their mothers like Linda can keep their

their mothers like Linda can keep their babies they were ever adamant in their

babies they were ever adamant in their

babies they were ever adamant in their endorsement of the hypothesis so

endorsement of the hypothesis so

endorsement of the hypothesis so very long before I was harshly

very long before I was harshly

very long before I was harshly criticized by Family Court judges

criticized by Family Court judges

criticized by Family Court judges because I was challenging the majority

because I was challenging the majority

because I was challenging the majority view in 2010 a report was made to the

view in 2010 a report was made to the

view in 2010 a report was made to the General Medical Council the doctors

General Medical Council the doctors

General Medical Council the doctors licensing authority on the basis of

licensing authority on the basis of

licensing authority on the basis of those judicial criticisms the complaint

those judicial criticisms the complaint

those judicial criticisms the complaint didn’t come from the judges who made

didn’t come from the judges who made

didn’t come from the judges who made them nor did they pursue any of the

them nor did they pursue any of the

them nor did they pursue any of the avenues available to them to restrict me

avenues available to them to restrict me

avenues available to them to restrict me no complaint came from the police

no complaint came from the police

no complaint came from the police because I was and they said this

because I was and they said this

because I was and they said this actually said I was confusing juries

actually said I was confusing juries

actually said I was confusing juries with science and I was getting in the

with science and I was getting in the

with science and I was getting in the way of them achieving their desired

way of them achieving their desired

way of them achieving their desired rates of conviction in these cases the

rates of conviction in these cases the

rates of conviction in these cases the complaint was not about my evidence when

complaint was not about my evidence when

complaint was not about my evidence when I was a prosecution expert was only

I was a prosecution expert was only

I was a prosecution expert was only about cases where I challenged shaken

about cases where I challenged shaken

about cases where I challenged shaken baby syndrome and my published research

baby syndrome and my published research

baby syndrome and my published research on the subject was never questioned nor

on the subject was never questioned nor

on the subject was never questioned nor was the content of my opinions it was

was the content of my opinions it was

was the content of my opinions it was just the way I expressed them and

just the way I expressed them and

just the way I expressed them and ironically my use of scientific

ironically my use of scientific

ironically my use of scientific literature to support my views

literature to support my views

literature to support my views I faced a six-month hearing and my

I faced a six-month hearing and my

I faced a six-month hearing and my license to practice medicine was

license to practice medicine was

license to practice medicine was suspended I was struck off I appealed

suspended I was struck off I appealed

suspended I was struck off I appealed and my license was restored but I was

and my license was restored but I was

and my license was restored but I was banned from giving evidence in the

banned from giving evidence in the

banned from giving evidence in the courts for three years all of this has

courts for three years all of this has

courts for three years all of this has had a profound effect on the delivery of

had a profound effect on the delivery of

had a profound effect on the delivery of justice back in 2005 Linda had seven

justice back in 2005 Linda had seven

justice back in 2005 Linda had seven medical experts to support her today she

medical experts to support her today she

medical experts to support her today she would be likely to have none experienced

would be likely to have none experienced

would be likely to have none experienced highly qualified doctors are afraid to

highly qualified doctors are afraid to

highly qualified doctors are afraid to become expert witness isn’t challenge

become expert witness isn’t challenge

become expert witness isn’t challenge the hypothesis

the hypothesis

the hypothesis for fear of suffering the same thing as

for fear of suffering the same thing as

for fear of suffering the same thing as me instead prosecution experts are

me instead prosecution experts are

me instead prosecution experts are emboldened and today cases are routinely

emboldened and today cases are routinely

emboldened and today cases are routinely decided on the basis of such candice

decided on the basis of such candice

decided on the basis of such candice opinions as it’s generally considered or

opinions as it’s generally considered or

opinions as it’s generally considered or most doctors believe that shaking causes

most doctors believe that shaking causes

most doctors believe that shaking causes the triad

the triad

the triad these are articles of faith they have no

these are articles of faith they have no

these are articles of faith they have no scientific foundation science is not a

scientific foundation science is not a

scientific foundation science is not a democracy scientific fact is determined

democracy scientific fact is determined

democracy scientific fact is determined by experiment by observation not by how

by experiment by observation not by how

by experiment by observation not by how many people happen to believe one

many people happen to believe one

many people happen to believe one both assists or another but today these

both assists or another but today these

both assists or another but today these opinions are unlikely to meet any

opinions are unlikely to meet any

opinions are unlikely to meet any significant challenge and this leaves

significant challenge and this leaves

significant challenge and this leaves families defenseless against unfounded

families defenseless against unfounded

families defenseless against unfounded allegations of abuse what can we do

allegations of abuse what can we do

allegations of abuse what can we do there are two things firstly at the

there are two things firstly at the

there are two things firstly at the point of initial contact when a baby

point of initial contact when a baby

point of initial contact when a baby with the triad or any part of it is

with the triad or any part of it is

with the triad or any part of it is brought to hospital the medical care we

brought to hospital the medical care we

brought to hospital the medical care we must have in place as standard a

must have in place as standard a

must have in place as standard a protocol for the complete and rigorous

protocol for the complete and rigorous

protocol for the complete and rigorous medical family and social assessment of

medical family and social assessment of

medical family and social assessment of every case and look for all of the

every case and look for all of the

every case and look for all of the causes of the Dryad getting it wrong at

causes of the Dryad getting it wrong at

causes of the Dryad getting it wrong at this initial stage means that parents

this initial stage means that parents

this initial stage means that parents are assumed to be guilty and have to

are assumed to be guilty and have to

are assumed to be guilty and have to prove their innocence which is the

prove their innocence which is the

prove their innocence which is the complete reversal of the burden of proof

complete reversal of the burden of proof

complete reversal of the burden of proof of our legal system getting it right at

of our legal system getting it right at

of our legal system getting it right at this stage means that we will identify

this stage means that we will identify

this stage means that we will identify the treatable causes of the triad and we

the treatable causes of the triad and we

the treatable causes of the triad and we can get on with treating them and save

can get on with treating them and save

can get on with treating them and save these babies lives if we do find

these babies lives if we do find

these babies lives if we do find evidence of violence and abuse then we

evidence of violence and abuse then we

evidence of violence and abuse then we can be stringent in our prosecution of

can be stringent in our prosecution of

can be stringent in our prosecution of offenders and increase the rates the

offenders and increase the rates the

offenders and increase the rates the conviction of the real child abusers if

conviction of the real child abusers if

conviction of the real child abusers if we don’t find evidence of violence abuse

we don’t find evidence of violence abuse

we don’t find evidence of violence abuse we can save the emotional and the

we can save the emotional and the

we can save the emotional and the financial burden of unnecessary

financial burden of unnecessary

financial burden of unnecessary prosecutions sometimes there will be no

prosecutions sometimes there will be no

prosecutions sometimes there will be no clear diagnosis and doctors must not be

clear diagnosis and doctors must not be

clear diagnosis and doctors must not be afraid to say clearly and unequivocally

afraid to say clearly and unequivocally

afraid to say clearly and unequivocally I don’t know the second place where

I don’t know the second place where

I don’t know the second place where something must be done concerns the

something must be done concerns the

something must be done concerns the courts and we that’s all of us we must

courts and we that’s all of us we must

courts and we that’s all of us we must demand an inquiry so we can see what is

demand an inquiry so we can see what is

demand an inquiry so we can see what is happening in these cases particularly

happening in these cases particularly

happening in these cases particularly behind the closed doors of the Family

behind the closed doors of the Family

behind the closed doors of the Family Division these courts have the power to

Division these courts have the power to

Division these courts have the power to impose draconian sentences the

impose draconian sentences the

impose draconian sentences the separation of a baby from his mother is

separation of a baby from his mother is

separation of a baby from his mother is a life sentence for that baby it’s a

a life sentence for that baby it’s a

a life sentence for that baby it’s a life sentence for his mother it’s the

life sentence for his mother it’s the

life sentence for his mother it’s the life sentence for his father for his

life sentence for his father for his

life sentence for his father for his siblings it’s the life sentence that

siblings it’s the life sentence that

siblings it’s the life sentence that every member of the family is it right

every member of the family is it right

every member of the family is it right that decisions of such gravity should be

that decisions of such gravity should be

that decisions of such gravity should be made in secret hidden from public

made in secret hidden from public

made in secret hidden from public scrutiny and accountability is it right

scrutiny and accountability is it right

scrutiny and accountability is it right that in an area of Medicine which has

that in an area of Medicine which has

that in an area of Medicine which has become

become

become controversial an opinion so polarized

controversial an opinion so polarized

controversial an opinion so polarized that these courts in order to save money

that these courts in order to save money

that these courts in order to save money should appoint a single doctor as the

should appoint a single doctor as the

should appoint a single doctor as the expert to represent both sides of the

expert to represent both sides of the

expert to represent both sides of the argument is it night that a doctor whose

argument is it night that a doctor whose

argument is it night that a doctor whose views are entrenched in the belief

views are entrenched in the belief

views are entrenched in the belief system should go unchallenged

system should go unchallenged

system should go unchallenged unquestioned by his peers no the courts

unquestioned by his peers no the courts

unquestioned by his peers no the courts must hear the scientific dissent on

must hear the scientific dissent on

must hear the scientific dissent on shaken baby syndrome fully and fairly

shaken baby syndrome fully and fairly

shaken baby syndrome fully and fairly these courts must be open justice must

these courts must be open justice must

these courts must be open justice must be seen to be done otherwise it is not

be seen to be done otherwise it is not

be seen to be done otherwise it is not justice if we do nothing then ordinary

justice if we do nothing then ordinary

justice if we do nothing then ordinary people people have already suffered the

people people have already suffered the

people people have already suffered the tragedy of the death of a baby will

tragedy of the death of a baby will

tragedy of the death of a baby will continue to have their families torn

continue to have their families torn

continue to have their families torn apart by incorrect and unscientific

apart by incorrect and unscientific

apart by incorrect and unscientific opinions mothers might Linda go to

opinions mothers might Linda go to

opinions mothers might Linda go to prison and babies like Lucy suffer

prison and babies like Lucy suffer

prison and babies like Lucy suffer forced adoption on the basis of belief

forced adoption on the basis of belief

forced adoption on the basis of belief this lies at the feet of the medical

this lies at the feet of the medical

this lies at the feet of the medical profession who have forgotten the

profession who have forgotten the

profession who have forgotten the fundamental principle of medicine first

fundamental principle of medicine first

fundamental principle of medicine first do no harm by ignoring the science and

do no harm by ignoring the science and

do no harm by ignoring the science and adopting an unproven hypothesis doctors

adopting an unproven hypothesis doctors

adopting an unproven hypothesis doctors have done great harm and have led the

have done great harm and have led the

have done great harm and have led the courts astray if we do nothing this

courts astray if we do nothing this

courts astray if we do nothing this travesty will continue this travesty of

travesty will continue this travesty of

travesty will continue this travesty of the willful refusal of the courts and

the willful refusal of the courts and

the willful refusal of the courts and the doctors advising them to recognize

the doctors advising them to recognize

the doctors advising them to recognize the science that shows they are wrong

the science that shows they are wrong

the science that shows they are wrong will continue if we do nothing they will

will continue if we do nothing they will

will continue if we do nothing they will continue to do harm to innocent babies

continue to do harm to innocent babies

continue to do harm to innocent babies and their families thank you for

and their families thank you for

and their families thank you for listening

listening

listening [Applause]

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