Monday, March 14, 2016
Bulletin: Dr. Waney Squier; (Aftermath 4); Clive Stafford Smith, the founder of 'Reprieve', who has spent 25 years working on behalf of defendants facing the death penalty in the US writes in 'The Guardian' that the General Medical Council tribunal's finding that Dr. Squier commited misconduct by misleading the courts when she questioned the existence of shaken baby syndrome as an expert witness is, "a dark day for science - and for justice...."A leading doctor faces being struck off for challenging the theory about the infant condition. It’s like Galileo all over again."..."For years, the medical profession has boldly asserted that a particular “triad” of neurological observations is essentially diagnostic of SBS. Since the Nuremberg Code properly prevents human experimentation, this is an unproved hypothesis, and there has been rising doubt as to its validity. I am convinced that Squier is correct, but one does not have to agree with me to see the ugly side to the GMC prosecution: the moment that we are denied the right to question a scientific theory that is held by the majority, we are not far away from Galileo’s predicament in 1615, as he appeared before the papal inquisition. He dared to suggest that the Bible was an authority on faith and morals, rather than on science, and that 1 Chronicles 16:30 – “the world is firmly established, it cannot be moved” – did not mean that the Earth was rigidly lodged at the epicentre of the universe. It was not until 1982 that Pope John Paul II issued a formal admission that the church had got it wrong." The Guardian; (Must Read. HL);
"On Friday, I witnessed something akin to a reenactment of the trial of Galileo, precisely four centuries after the original. Dr Waney Squier faces being struck off by the General Medical Council (GMC) for having the temerity to challenge the mainstream theory on shaken baby syndrome (SBS). For years, the medical profession has boldly asserted that a particular “triad” of neurological observations is essentially diagnostic of SBS. Since the Nuremberg Code properly prevents human experimentation, this is an unproved hypothesis, and there has been rising doubt as to its validity. I am convinced that Squier is correct, but one does not have to agree with me to see the ugly side to the GMC prosecution: the moment that we are denied the right to question a scientific theory that is held by the majority, we are not far away from Galileo’s predicament in 1615, as he appeared before the papal inquisition. He dared to suggest that the Bible was an authority on faith and morals, rather than on science, and that 1 Chronicles 16:30 – “the world is firmly established, it cannot be moved” – did not mean that the Earth was rigidly lodged at the epicentre of the universe. It was not until 1982 that Pope John Paul II issued a formal admission that the church had got it wrong. Shaken baby syndrome is almost unique among medical diagnoses in that it is not focused on treating the child. If an infant has bleeding on the brain (a subdural hematoma), the doctor wants to relieve the pressure – it is of little relevance how the infant came about the injury. SBS is, then, a “diagnosis” of a crime rather than an illness, and when a brain surgeon comes into the courtroom and “diagnoses” guilt, the defendant, mostly a parent, is likely to go to prison – or worse. I have defended a number of emotionally charged capital cases where doctors have opined that a child had to have been shaken by an angry parent because it was “impossible” for the triad of neurological sequelae to result from an accident – it “had” to be caused by shaking. Many American doctors adhere to a bizarre notion that an infant cannot suffer a fatal head injury from a fall of less than three storeys. While we cannot drop a series of infants on their heads to test this, it would appear to be plain folly. The velocity of a five-foot fall means a child’s head can hit the ground at roughly 15mph, which is faster than most people – short of Usain Bolt - can sprint. I invited a series of neurosurgeons to run headlong into a hardwood wall in one courtroom, so we could see what happened to them. They politely declined, and stuck to their silly theory. Squier has now been branded a “liar” by the panel, and found “guilty” of paying insufficient respect to her peers. Dr Michael Powers, perhaps the eminent QC in the area of medico-legal practice in the UK, believes that the GMC tribunal – made up of a retired wing commander, a retired policeman and a retired geriatric psychiatrist – was not qualified to understand the complex pathology of the developing brain. “It is therefore sad, but not surprising, that they have reached the wrong conclusion,” he said. “The proper forum for debating these issues is the international neuroscience community.” Powers has a point......... Those deemed to be blasphemers often suffer a gruesome fate. Although Squier may be struck off, at least she will not be burned at the stake. But the impact on medical science will be immense, because what other doctor will be prepared to question the prosecution theory if it means the end of a career? This is a very dark day for science, as it is for justice."
