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Shaken Baby Syndrome 101 | SBS appearing in India Diagnosis on Shaky Ground  | A Parent's nightmare | Experiments cast doubt on Shaken Baby Syndrome | Blood disease symptoms resemble child abuse | BILIRUBIN METABOLISM AND NEUROLOGICAL INJURY LINK SHOULD BE EXPLORED
The bilirubin metabolism and neurological injury link should be
explored more closely. Many of these SBS cases have common anemia, bilirubin,
coagulation, symptoms.  | www.vaccinetruth.org/shakenbaby  

The US reports around 50,000 cases a year.  1 in every four cases is a fatality.  That's 12,500 deaths annually.  Thorough research into SBS has led to my conclusion that Vaccines most certainly play a large role in the syndrome.  There appear to be more cases relating to vaccinations, than there are to domestic child abuse.  Medical diagnosis leading to court cases against parents and caregivers are on shaky ground lacking thorough medical examination and investigation.  While some may claim that the vaccine controversy is a "cover up" for the accused, others will argue that the false accusations are a cover up for the vaccine induced symptoms to keep suspicion off the 30 billion dollar industry.

  • Tapestry of Errors and Influence
  • Lack of experts leads to false charges over child deaths

  • After reading SHAKEN BABY SYNDROME AND VAERS: A REVIEW AND ANALYSIS I couldn't help but notice several similarities between a situation that occurred 2 years ago with my then 7-month old son.   I do not believe vaccine reaction was even considered by the physicians who made their diagnosis of SBS.  The only finding that they had was a subdural hematoma.  The feelings of the neurosurgeon was that the hematoma was old. Watching my son being operated on was unbearably painful and the additional stress of the diagnosis took a huge toll on my family.  Thankfully, my son made a complete recovery and is a happy, healthy, and quite bright nearly 3-year old boy, but I will still be forwarding this article on to the police dept., social services dept., and "Child Advocacy" physician who were involved in our case.-Karin Wille

  • Medical examiner admits role in eyes mix-up



General commentary on a case report

By Harold E Buttram, MD

On August 16, 2003, I received the following communication from a grandmother, whose first name is Sharon, somewhat in the fashion of a desperate plea for help on behalf of her daughter, who has been accused of injuring her infant daughter by Shaken Baby Syndrome (SBS). As a poignant example of what I consider to be ill-advised administration of vaccines to a highly fragile and vulnerable infant, I thought that this story needs to be told, which I am now doing with the permission of the grandmother and her daughter. My response to the letter can in no way be construed as a medical report but rather as a general commentary on my observations in reviewing numerous cases of the SBS during the past 4 years.

The information about the case includes the following message from the grandmother:

"My daughter had ‘Twin Transfusion Syndrome.’ It was diagnosed in her twenty-fifth (25th) or twenty-sixth (26th) week. She had an amniocentesis three or four times, as Baby B was stuck to the wall of the uterus. The syndrome progressed. It took its toll, and at twenty-nine weeks we lost Baby B.

"Her…ObGyn physician wanted her to continue her pregnancy until thirty-five weeks to ensure that Baby A was developed and that her lungs matured. That was the safest thing to do, I felt as well. However, we were told to watch for any discharge with dark color, foul odor, things of that nature. When my daughter developed a dark brown discharge, the doctor on call did a full pelvic exam, including use of a speculum. Two hours after returning home from the examination her water broke.

"I then took her back to the hospital and she was admitted. She stayed in the hospital five days after which labor was induced with delivery of a baby girl weighing 2 lbs and 14 ounces. The baby’s APGARs were 1 at one minute, 5 at five minutes, and 6 at six minutes. The baby stayed in a newborn intensive care unit for 2 months and was, for example, diagnosed with milk pulmonary valve stenosis, ventricular septal defect, anemia of prematurity, apnea and bradycardia, suspected necrotizing enterocolitis-medical, bloody stools, and hyperbilirubinemia.

"After discharge from the hospital the baby was visited two or three times a week by a visiting nurse. At approximately two months of age the baby was administered four shots - the DTaP, Hib, IPV, and Prevnar vaccines. She did not do well after the shots. She wasn’t eating well. She was fussy and cried with high-pitched screams. Her mother took her to the doctor because she was jerking the second day following the vaccines, but he was not concerned. She then took her to the sitter where the baby became lifeless. The sitter did not summon help, nor did she call my daughter until it was time to get off work. My baby granddaughter was taken to the ER that night where she was having seizures back-to-back and was admitted to the hospital. Three days later the attending physician said he thought the baby had been injured by Shaken Baby Syndrome.

"An MRI confirmed she had a brain they expected to see from a baby that weighed less than 3 pounds. There was no blood on the brain or in the spinal fluid. There were no rib fractures. She had no bruises or broken bones. She has never missed a doctor’s appointment. She was on a heart monitor which showed no motion artifacts. All she had were retinal hemorrhages

"My granddaughter was a 30-week gestation baby, small for gestational age…will this SBS stuff ever fade away?"

As a sequel to the story, based on the lone finding of retinal hemorrhages, the baby was removed from custody of the mother and placed in a foster home. The grandmother, who is now disabled and unable to work, is trying to gain custody of the baby.

Analysis and General Commentary

In the next 25 years or so, when there is greater knowledge about the adverse reactions and aftermath from current childhood vaccine programs, physicians and scientists, as well as the lay public, may look back on these programs with embarrassment if not worse. This is not to say that vaccines do not have a proper role in preventive health, which they do, but not with neglect of safety considerations, of which in my opinion this case serves as an example.

The rationale for these statements is based largely on the work of Dr. Archivedes Kalokerinos, who worked as a medical officer among the Australian aborigines in the "outback" in the 1960s and 1970s. Being troubled by very high infant mortality, in some areas approaching 50%, he began to investigate possible causes. Having noticed signs of scurvy in some of the infants, and observing that the children often died following immunizations, especially if they had colds or minor respiratory infections, the thought occurred to him that there might be a connection between vitamin C deficiency and deaths following vaccines. With improved nutrition, routine oral vitamin C supplementation of children and infants, avoidance of immunizations during minor illnesses, even if just a runny nose, and large doses of injectable vitamin C during crises, infant mortality was virtually abolished. Although Kalokerinos was awarded the Australian Medal of Merit in 1978 for his work, it has never been acknowledged by mainstream medicine. What is worse, it has never been subjected to systematic, meaningful scientific study.

With the work and clinical observations of Dr Kalokerinos in mind, I would next like to turn to the work of attorney Toni Blake of San Diego, who specializes in defending parents and caretakers accused of shaken baby syndrome, and who has described a pattern she has noted with these infants. They tend to have the following characteristics: 1) All babies came from problem pregnancies including prematurity, low birth weights, maternal diabetes or toxemia of pregnancy, maternal drugs or alcohol, (or other prenatal risk factors involving immaturity or compromise of the liver, kidneys, and immune system); 2) all had subdural brain hemorrhages; 3) many had fractures; 4) infant complications occurred in clusters around 2 months, 4 months, and 6 months of age; 5) most infant complications and collapses occurred with 11 or 12 days of vaccinations. (Personal communications 2000 and 2002)

In my opinion, the observations of attorney Toni Blake may hold a key to what is happening in many of these infants now being (mis)diagnosed as victims of shaken baby syndrome; that is, the ill-advised vaccination of fragile infants, as described above, and/or the vaccination in the presence of minor viral or bacterial infections. What is happening in these infants?

In contrast to classical scurvy of earlier times in the days of wooden sailing ships, when scurvy was characterized by a total lack of Vitamin C, what we may be seeing today is something quite different. As described by Dr. Kalokerinos (1) and Alan Clemetson, MD (2) subclinical scurvy is a condition in which apparently healthy infants with marginally low but adequate levels of Vitamin C in unstressed conditions may be suddenly thrown into states of critical Vitamin C depletion by combinations of stresses from common infections and toxins, including the toxins found in vaccines. As one example of marginal Vitamin C deficiency on the modern scene, in a study of people attending an HMO (Health Maintenance Organization Clinic) in Tempe, Arizona in 1998, 30% were found to be depleted with plasma Vitamin C levels between 0.2 and 0.5 mgs/100 ml and to be deficient in 6% with levels below 0.2%. (3) In regards to infants, it is true that infant formulas have been mandated to include Vitamin C at levels providing the required 30 mgs per day. However, this is a maintenance level and makes no allowances for additional stresses which may bring about many-fold increases in need for Vitamin C. Common colds, for instance, have been shown to reduce Vitamin C levels up to 50%. (4) No one knows the effects of vaccines on Vitamin C levels in infants, because before-and-after studies of this type have never been done, but Vitamin C is known to neutralize the toxins of diphtheria, (5-8) tetanus, (9) typhoid endotoxin, (10) and four varieties of gas gangrene. (11) As will be described below, in the process of neutralizing these toxins, Vitamin C is necessarily used up and depleted.

(Note: If the reader will consult with these references, which were extracted from an article by A Clemetson, (12) it will be found that most of these studies are quite old and some published in foreign languages. To me that is the pity of it, as our own scientific & medical system has never recognized their importance or followed through with further investigations.)

It is seldom appreciated that vaccines contain a variety of toxins. In addition to bacterial endotoxins and attenuated live viruses, depending on the vaccines, vaccines may also contain formaldehyde, mercury, aluminum phosphate, antibiotics, phenols, alcohols, mineral oils, animal serums, animal DNA, chicken embryo, aborted fetal tissue (in measles, mumps, rubella, and chicken pox vaccines), Simian Cytomegalo Virus (CMV) in oral polio vaccines, and Mycoplasma. (This list of ingredients has been compiled from current Physicians’ Desk Reference manuals and from report in the medical literature in the cases of Simian CMV and Mycoplasma).

Returning to the importance of vitamin C in relation to vaccines, one of the prime roles of Vitamin C in the body is its action as an antioxidant in donating electrons to quench free-radial inflammatory damage from infections and/or toxins, with our consideration here being vaccine toxins. However, in the process of donating electrons, Vitamin C necessarily becomes depleted. Once the level of Vitamin C is reduced to the point that it can no longer protect the brain, which is unduly susceptible to toxic and infectious damage, it (the brain) may become subject to free-radical damage. By definition "free-radicals" consist of molecular fragments with one or more unpaired electrons in their outer orbits. When uncontrolled, these can be very destructive to the body, such as may take place when exposed to harmful radiation. Vitamin C is critically important in protecting against free-radical proliferation because, in donating electrons, it neutralizes the unpaired electrons in the "free-radical" oxygen molecules. Of all the organs of the body, the brain appears to be most vulnerable to this type of damage because of its relatively high fat content.

For these reasons, the combination of ill-advised vaccines given to fragile infants, as in the present case, with highly immature detoxification organs (liver and kidneys) and immature immune systems, or as often takes place, in the presence of viral or bacterial infections, is in my opinion an invitation to disaster with the brain being potentially subjected to a firestorm of free-radical inflammatory damage. I believe that this is what is likely happening in many of these infants. Once this pattern has been set in motion, there is a variable latent period with gradual progression of inflammatory brain swelling commonly complicated by brain and retinal hemorrhages. As the brain continues to swell, the breathing center, located at the base of the brain, may become herniated into the spinal canal and become constricted, this in turn resulting in respiratory arrest and collapse. In other instances there may be seizures, as in the present case. Among the cases of SBS that I have reviewed, I have found these to be common patterns, too frequent to be coincidental.

As described in his autobiography, Dr. Kalokerinos describes the mechanisms involved in the production of brain edema with retinal and brain hemorrhages in much the same fashion: (1)

"1. Endotoxin (endogenous and/or from vaccines) damages the endothelial linings of the brain’s blood vessels.
2. endotoxin then ‘leaks’ through to the surrounding brain tissue. This includes the retina that is an extension of the brain.
3. The brain tissue is damaged.
4. The blood supply to the portions of the brain involved is reduced.
5. Insufficient oxygen, glucose, and Vitamin C follows.
6. Parts of the brain are ‘rich’ in ‘bound’ (controlled) iron. This is released.
7. Violent free radical reactions result, and these cannot be controlled because of a lack of immediately available Vitamin C and other antioxidants.
8. So further, and rapid, brain tissue damage results, with more free radical reactions.
9. Hemorrhages occur in the area/areas involved.
10. After a variable period (depending on a host of factors) some of the red blood cells in the hemorrhages break down and release their stores of iron and copper.
11. This results in a further cascade of free radical reactions and tissue destruction.
12. Cerebral edema (brain swelling) occurs."

By way of comparison, in Vienna in the 1840s, long before recognition of the importance of sanitation and the role of microbes in causing disease, a doctor named Ignaz Semmelweis was assigned to an obstetrical post at a birthing center which was notorious for its high maternal mortality rates. Based on simple observation, Semmelweis deduced that doctors and nurses were carrying infections from one patient to another and subsequently required that they wash their hands between patients. As a result, the mortality rate among maternity patients under his care was reduced from nearly 30% in other wings of the hospital to less than 2% for patients under his care or supervision.

Was Semmelweis honored by his peers for this discovery? No, at least not at that time. Instead he was dismissed from the hospital staff because his procedures did not conform with the medical thinking of the time. In the case of Dr. Archivedes Kalokerinos, could history be repeating itself?



By Maureen Hickman
Managing Legal Clerk, Carters Law Firm, Sydney, Australia
e-mail: acii@ozemail.com.au
Address: PO Box W261, Warringah Mall, Brookvale. NSW 2100, Australia
Telephone: 61 2 9907 1687
Facsimile: 61 2 9907 1657

Is it Shaken Baby Syndrome or the negligence of medical personnel for failing to carry out extensive medical investigation, following injury or death of a child diagnosed with sub-dural and retinal haemorrhages? That is the crucial question.

The worrisome aspect of the diagnosis of SBS by coroners, forensic pathologists and other medical specialists is that they focus their entire attention on this one medical hypothesis and ignore many other idiopathic causes (including vaccination) of death/injury. Following any medical observation of co-existing sub-dural and retinal haemorrhages in a baby the conclusion is that these haemorrhages are distinctly characteristic of SBS. In other words, where the facts fit the theory, accept them without any further medical investigation into the cause.

Unfortunately, the medical professionals acting on behalf of the accused are brought into the matter some time after the cremation or burial of a child or sometimes the child is in other care, if injured. Because they have no access after death/injury, it is impossible to request further specific analysis of certain organs, blood testing, radiology screening etc., or to demonstrate that other explanations may exist for the death/injury.

The Brain Journal of Neurology,1 in an introduction, says ‘The neuropathology of inflicted head injury, whether adult assault or non-accidental injury (NAI) in children, has not been fully studied.’ Until such studies are carried out and published, the current medical opinion on the link between subdural and retinal haemorrhages and SBS cannot be substantiated. If no medical literature is available defining the affects of alleged ‘shaking,’ why are medical practitioners and police personnel so determined to ignore other reasons for death/injury?

In a recent SBS case in Western Australia,2 where a father was accused of the murder of his son, Cameron Court, Scott J found the father ‘not guilty’. In the judgment dated 3rd June, 2003, Scott J said:


‘I was not satisfied beyond reasonable doubt that the accused caused the death of the deceased in the manner alleged by the Crown.

I also took into account the principle of law that I could only draw an inference against the accused if it was the only rational inference that was available on the evidence. That rule was of importance in determining whether the Crown had proved beyond reasonable doubt the necessary intent for the offence of murder. It was also important because this was a circumstantial evidence case relying upon conclusions said to be available from medical findings.

I was unable to conclude beyond reasonable doubt that the death of the deceased was caused by the deceased being shaken by the accused in the manner alleged by the prosecution. The evidence, which I have reviewed extensively in these reasons, gave rise to considerable doubt as to whether shaking was the cause of the death of the deceased. It was not necessary to consider the intent of the accused further.

For these reasons I acquitted the accused of both murder and manslaughter.’

Application for Leave to Appeal was made on 23rd June, 2003 but this Application has not yet been heard before the court and therefore it is not known at this time whether an appeal will take place. The particulars of the appeal by the prosecutors are as follows:-

‘(a) The expert medical opinion was that the child had died from a brain injury due to trauma;
(b) The Respondent’s explanation did not account for the constellation of injuries found on the deceased;
(c) The constellation of injuries found on the deceased was consistent only with the Baby-Shaking Syndrome. The baby died as a result of being subjected to acceleration/deceleration forces combined with rotational effect.’

In another SBS Australian case3 heard in 1998, a father was found ‘not guilty’ of manslaughter of his daughter, Rikki-Lee Walters. In the judgment dated 24th March, 1998, Black A.J. said:

‘In my view, this is a case of circumstantial evidence and, accordingly, in order to convict the accused I have to be satisfied not only that the circumstances are consistent with the accused having committed the crime but also that the facts are such as to be inconsistent with any other rational conclusion. Before drawing an inference on the accused’s guilt from circumstantial evidence, it is essential for me to be sure that there are no other circumstances which would weaken or destroy the inference.

"Applying the above principles to the present case it means that in order to convict the accused I would have to be satisfied first of all that the subdural haemorrhage found in Rikki-Lee was caused by the accused violently shaking Rikki-Lee in a way that a reasonable person in his position would have realised that by doing so Rikki-Lee was being exposed to an appreciable or significant risk of serious injury and that no other reasonably possible explanation for her death exists. That would involve amongst other things my finding beyond a reasonable doubt that the possibilities put forward by Dr. Kalokerinos and/or Dr. Donohoe were not reasonable.

‘I did not form the view that either of those doctors was putting forward a fanciful untenable proposition. Perhaps putting the burden the correct way I am not satisfied that their evidence should be rejected as unreliable nor amI satisfied that their propositions are unreasonable.’

Following the death/injury of a child and the subsequent police accusation of SBS by a parent/carer, any severe adverse effect of vaccination is one medical investigation that is not carried out by the prosecution medical team. If you meticulously peruse past medical/hospital documentation of these children as well as a health chronology prepared by parents since the birth of the child, a high percentage have had serious adverse reactions to vaccines administered prior to their death/injury. These vaccine adverse events, even though the mechanism is sometimes uncertain, cannot be categorically denied as untenable by the elected judges and juries who hand down decisions affecting the life and freedom of others.

In the Walters case, vaccination was put forward as a possible case of death. Dr. Kalokerinos in his evidence said ‘a possible cause of Rikki-Lee’s death [was] of ‘Scurvy haemorrhages precipitated by Pertussis Vaccine’.

The fact that Rikki Lee had a bad reaction to vaccination was noted on the Report of Death to the Coroner, dated 23 April, 1998: ‘The deceased received two-monthly injections on Wednesday 19.4.98 at her three-monthly period because she had been sick. The deceased then suffered a bad reaction to the injections, however the mother did not return her to the Doctor – Signed by Police Constable.’

It is noted that the medical practitioner said in a statement to police that at the time of vaccination: ‘I cannot recall this consultation, however it is my usual practice to OBSERVE the child and ask general questions as to the child’s health. If the child had been obviously unwell with fever, the vaccination would not have been ordered. Further, the child did not appear to have any physical injuries or (to be) suffering from neglect and if the child had been I am aware of the guidelines in relation to me contacting the Department of Community Services. The child received vaccinations from nursing staff as this is usually the normal practice at the centre.’

We know that the child was ill because both parents have alluded to this fact when giving police statements. Did the medical practitioner give adequate information to the parents on the risks and benefits of vaccination so an informed decision could be made? The father alleged that the medical practitioner in a consultation lasting 3 — 4 minutes: did not take any notes of the consultation; did not examine the child for contraindications to the administration of a vaccine; did not question the parents on the health of the child and did not explain the risks and benefits of vaccination.

If the medical practitioner did not recall the consultation, how could he remember whether there were any physical injuries or whether the child was suffering from neglect? Remember, the doctor took no notes according to the parents. The doctor made the statement: ‘If the child had been obviously unwell with fever, the vaccination would not have been ordered’. We know, however, that the doctor admitted only OBSERVING the child so how could he make a diagnosis of whether the child had any contraindications for the administration of the six vaccines?

In the medical diagnosis of subdural and retinal haemorrhages in any case of death/injury of a child, police and investigators adopt the view that the individual caring for the child at the time of the occurrence is the person guilty of SBS. This causes distress and despair for the accused and their family, if they are not guilty of any offence.

Law firms acting on behalf of accused individuals require medical professionals who are not obedient or compliant to prevailing standards of the medical rhetoric and investigation of SBS and who will look into all other possible causes, including vaccination, of death/injury. It is therefore very important for the worldwide networking of law firms and helpful medical professionals in SBS cases.

  1. Brain, A Journal of Neurology, Vol. 124, No. 7, 1290-1298, July, 2001.
  2. The Queen —v- Craig Douglas Court — No. 28 of 2002, in the Supreme Court of Western Australia, at Perth, Heard 19-23, 26, 28 & 29 May, 2003.
  3. Regina —v- Scott Warren Walters — No. 70031 of 1996, in the Supreme Court ofof New South Wales Criminal Division, judgment 24th March, 2998.





By RFD Columnist, Mohammed Ali Al-Bayati, Ph.D., DABT, DABVT
Toxicologist & Pathologist

Toxi-Health International
150 Bloom Dr.
Dixon, CA 95620
Phone: (707) 678-4484
Fax: (707) 678-8505


Kathleen Butcher is a 40-year-old, white woman, and the mother of five children. She was accused of, and arrested for, killing Alexa Marie Shearer by vigorous shaking of the head and blunt trauma to the head and abdomen. Alexa was a 15-month-old toddler, who suffered from cardiac arrest and apnea on November 16, 1999 in Kathleen’s house in Howard County, Maryland. Kathleen was her daycare provider and she had cared for Alexa ever since she was two months old.

Kathleen was arrested in December of 1999 based on a verbal communication between the Chief Medical Examiner for the District of Columbia, Dr. Jonathan Arden and the Howard County Police. Dr. Arden performed Alexa’s autopsy on November 19, 1999. He told the police officer present at the autopsy, that Alexa’s injuries and death were caused by blunt trauma to the head, and that the manner of death was homicide. In February of 2001, Kathleen was convicted of involuntary manslaughter and child abuse in the death of Alexa and sentenced to 10 years and 5 years, respectively, to serve concurrently in prison (Criminal Case No. 13-K-99-38775). Kathleen has stated that she took care of Alexa as her own child and never harmed her.

Kathleen Butcher and her husband, Ducman Butcher, requested that I evaluate the medical evidence in Alexa’s case to find the factual cause(s) that led to Alexa’s cardiac arrest and death in November of 1999. I evaluated Alexa’s case by reviewing: her medical records, autopsy report, adverse reactions to vaccines and medications given to Alexa, trial documents and testimonies of expert witnesses, and the medical literature pertinent to this case. I used differential diagnosis to evaluate the contribution of agents relevant to this case and the possible synergistic actions among agents in causing Alexa’s cardiac arrest, apnea, bleeding, pathologic changes in tissues, and death in this case.

Alexa was born on August 11, 1998; she was near term and was delivered by caesarean section. She suffered from jaundice and an upper respiratory tract bacterial infection during the first week of her life. Her blood bilirubin level was 16.5 mg/dL at five days following birth, which is about 8 times the expected normal level of 2 mg/dL. Neurological damages have been observed in some infants who had blood bilirubin level > 12 mg/dL.

Alexa’s appetite became poor at about 10 months of age and her appetite got worse gradually toward the time of her death at 15 months. For example, on July 20th, Alexa’s mother told the child’s pediatrician that she had a poor appetite for the previous 2-3 weeks. She developed white thrush on her tongue and was treated with three consecutive courses of Nystatin (anti-fungal) orally, that caused vomiting and diarrhea. Alexa’s physician overlooked her chronic health problems and vaccinated her with the polio (IPV) and hepatitis B (Hep B) vaccines on July 20, 1999, at 11 months of age.

Alexa was vaccinated with the MMR vaccine and varicella on August 13, 1999, when she was suffering from chronic immune depression, fungal infection, poor appetite, and poor weight gain. She also had frequent bowel movements and vomited on many occasions. (She received the MMR vaccines three months earlier than the recommended age of 15 months for a healthy child.)

Alexa developed an upper respiratory tract infection and low-grade fever and her poor weight gain became worse after receiving these vaccines. At two months of age, Alexa had been in the 50th percentile for weight on the growth chart and her weight then dropped to below the 1st percentile at 15 months of age. Her length also dropped from the 25th percentile at 7.4 months to the 10th percentile at 12 months of age.

Alexa suffered from cardiac arrest and apnea between 12:30 and 12:45 on November 16, 1999 at Kathleen Butcher’s house. The clinical data described in this report clearly shows that Alexa’s cardiac arrest was triggered by acute pancreatitis and diabetes mellitus. It was not caused by violent shaking and blunt trauma as the State alleged. Alexa did not breathe for about 30 minutes following her cardiac arrest and her brain suffered from severe ischemia and hypoxia, which caused severe diffuse edema and nerve damage.

Alexa also suffered from vitamin K deficiency, anemia, acute bacterial infections, oesteomyelitis, otitis media, and mastotidis. In addition, the complications of acute pancreatitis and diabetes caused hypovolemia, metabolic acidosis, reduction of potassium levels in cardiac muscles and nervous tissues, edema, bleeding, and disseminated intravascular coagulation (DIC). Vitamin K deficiency caused bleeding and affected calcium metabolism in bone.

Furthermore, the treatment of Alexa with high therapeutic doses of epinephrine during resuscitation, and epinephrine and heparin during her hospitalization caused bleeding in the subdural space, retina, skin, and other locations. She was also treated with excessive amounts of sodium bicarbonate that caused brain edema, hypoxia, and hypokalemia. Alexa’s treatment with high therapeutic doses of epinephrine, dopamine, fresh frozen plasma, albumin, and fluid also influenced the intravascular osmotic and hydrostatic pressure and caused the leakage of the fluid outside the blood vessels thereby contributing to the formation of edema.

It is noteworthy that Alexa was given vaccinations with four attenuated live viruses when she was suffering from serious chronic health problems. Alexa’s poor weight gain and her low food intake caused a significant depression in the functions of her immune system, especially the T-cell count and functions. The MMR and varicella vaccines caused the following serious illnesses that led to Alexa’s cardiac arrest and apnea on November 16, 1999:

1) It caused an upper respiratory tract infection, which increased Alexa’s risk of developing a bacterial ear infection and osteomyelitis. Viral respiratory tract infections caused edema of the eustachian tube mucosa and blocked the tube, which led to the accumulation of the fluid in the middle ear and mastoid cavities, providing a culture medium for the bacteria present. Streptococcus pneumonia and Haemophilus influenza are the primary causes of bacterial ear infection in children and these bacteria also cause osteomyelitis in children. It is likely that these bacteria caused Alexa’s otitis, mastotidis, and osteomyelitis of the T-10 vertebrae.

2) The MMR and varicella vaccines, along with her viral and bacterial infections, caused Alexa to eat less, lose weight, develop anemia, vitamin K deficiency, and led to significant immune depression, especially T-cell counts and functions. The mumps virus from the vaccine probably overcame Alexa’s weakened immune system and infected the pancreatic tissues. The clinical tests and the pathological findings in the abdominal cavity indicated that Alexa suffered from acute pancreatitis, which led to her cardiac arrest and apnea on November 16, 1999.

I reviewed Dr. Jonathan Arden’s autopsy report and his court testimony in this case and found that his autopsy and his investigation were incomplete. It is my belief that he also misinterpreted the clinical data including the results of his own tests and that he presented the wrong conclusions to the police and the court about the causes of injuries and death in this case. His work led to what I consider to be the false accusation, arrest, and conviction of Kathleen Butcher for a horrible crime that she did not commit.