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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. 
					 
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						- 
						
						Tapestry of Errors and Influence 
						
 
						- 
						
						
 
						- 
						
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  
					 
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					|  
					 
					VACCINES, 
					VITAMIN C DEPLETION AND SHAKEN BABY SYNDROME 
					
					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? 
					 
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						SHAKEN 
						BABY SYNDROME OR MEDICAL NEGLIGENCE? 
						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. 
					 
					
						
							- 
							Brain, A Journal of Neurology, Vol. 124, No. 7, 
							1290-1298, July, 2001. 
 
							- 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. 
 
							- 
							Regina —v- Scott Warren Walters — No. 70031 of 1996, 
							in the Supreme Court ofof New South Wales Criminal 
							Division, judgment 24th March, 2998.
							
 
						 
					 
					
					
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						ANALYSIS OF CAUSES THAT LED TO TODDLER ALEXA SHEARER’S 
						CARDIAC ARREST AND DEATH IN NOVEMBER 1999 
						PART ONE: OVERVIEW 
						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 
						 
						
						http://www.toxi-health.com 
						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. 
						
						
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