PA - Leon Katz, infant, murdered, and twin, injured by babysitter, Pittsburgh- June 24, 2024

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Honestly, I was expecting to find out he had been “accidentally” burned while cleaning up a blow-out. How serious would a bruise and swelling (the injury I heard first) have to be for parents to run to the ER? How does one explain swelling, bruises, redness & scratches to an area that is usually covered by a cushy diaper?
It’s very perplexing. And I can see why the physician did not think it happened naturally or accidentally.
 
I keep thinking about how babies' heads are soft and not fully formed so they can be born. Soft bones are more difficult to fracture than hard bones are. Unless this baby had some sort of condition that caused his bones to be harder, at this age they should still be soft. I am not an expert in this field by any means, but being so young with softer bones it might have been a really easy call for the physician to say this was not an accident. That is chilling to me.
 
I keep thinking about how babies' heads are soft and not fully formed so they can be born. Soft bones are more difficult to fracture than hard bones are. Unless this baby had some sort of condition that caused his bones to be harder, at this age they should still be soft. I am not an expert in this field by any means, but being so young with softer bones it might have been a really easy call for the physician to say this was not an accident. That is chilling to me.
Yes, it does seem with both infants that unless they had a medical condition which caused them to far more easily bruise and break bones than normal— and there are such conditions— then the doctor was easily able to call child abuse. You would think a medical condition would have been noticed by 6.5 weeks.
 
Do you think it’s possible for a baby to fall from it and severely fracture its skull? It doesn’t sound like it, nor did the Children’s Hospital physician think it possible that the injuries were caused by anything but child abuse. Still, the defense will likely try and argue for accident.
Yes, here is an example. Pa. nurse who dropped newborn disciplined, not fired
But, the neurosurgeons can tell the tell the difference between a short fall/low impact vs. forceful throw or blunt force from an object. Shaken babies can have fractured skulls. The type of fracture and accompanying level of brain injury helps the doctors determine.

Also, circumstances. I suspect something about NV’s story didn’t add up.

jmo
 
Definitely. At trial we will hear hours of testimony about an infant's soft spots, also known as a fontanelle. There's more than one, but anterior soft spot is that little area near the front of your newborn’s head where the bones aren’t yet touching.

We will probably see diagrams on how an infant might fall to create those type injuries. Also they may show a "CAR", a computer-generated animation, of how the baby bounced out of that seat, that depicts an event material to a civil or criminal case. MOO, it isn't cut and dry just because one doctor said it was intentional.
I keep thinking about how babies' heads are soft and not fully formed so they can be born. Soft bones are more difficult to fracture than hard bones are. Unless this baby had some sort of condition that caused his bones to be harder, at this age they should still be soft. I am not an expert in this field by any means, but being so young with softer bones it might have been a really easy call for the physician to say this was not an accident. That is chilling to me.​
You and I are both thinking about the infant's fontanelles or soft spots, @dulcinea. To me it isn't whether the bones are easily fractured. I'm more concerned that the bones in an infant's head haven't closed and come together. My thinking is that there's more chance of an injury causing much more damage and brain bleed. There's no bone protection over that area yet. I cringe thinking about how fragile and helpless an infant and all the ways that can happen. (Mine are raised.) Leon was an absolutely precious joy.

If the bouncer seat story is true, and that seat was not on the floor, there'd be enough damage to the infant's head to look like intentional harm, but a doctor and LE couldn't possibly know without further investigation how the baby fell. On the other hand, if the bouncer seat story is not true and NV hit the baby on the head, maybe even with an object, then it might be easier to determine. I don't really know, but the parents deserve answers.
 
I need to review the timeline, but is it possible that the parents called NV from the hospital and told her the doctors were questioning how the injuries occurred and this put her on the defensive? And then she lashed out by injuring little Leon?

The other thought was that maybe this was premeditated? Maybe she injured the first twin so she would be left alone with Leon?

It’s sickening to even try to imagine what she was thinking. This is all speculation, IMO.
 
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A long, but good, article describing some of what they look for in pediatric abusive head trauma.

Examples:

Retinal Hemorrhages


Retinal hemorrhages are usually more severe in abusive head trauma than an accidental blunt head injury. Retinal hemorrhage is also significantly more common in abusive head trauma than occurs in infants injured accidentally. Retinal hemorrhage in abusive head trauma involves most of the retina, from the ora serrata to the posterior pole of the eye.

Obtaining an ophthalmology consultation within the first 24 hours is important. Small-dot or superficial hemorrhages often resolve quickly. Less dramatic retinal hemorrhages are also found in children as a result of many other causes, such as accidental head trauma, anemia, birth trauma, coagulopathy, cerebral aneurysm, leukemia, and meningitis. As a result, healthcare providers should not use retinal hemorrhage alone to diagnose abusive head trauma. Further, the absence of retinal hemorrhage confined to the posterior pole also does not rule out abuse.

Subdural Hematoma

A subdural hematoma is a common finding in abusive head trauma. Acceleration-deceleration force causes the brain to move within the fixed venous channels and skull. Hemorrhages occur in the subarachnoid and subdural space if there is tearing of the superficial cortical veins.

Rib Fractures

Rib fractures in an infant are common with child abuse. They occur by squeezing the infant’s chest, which generates anterior-posterior compressive forces resulting in fractured ribs. Accidental rib fractures are very uncommon. Most caregivers will deny a history of trauma. The fractures are detected on routine chest X-rays or a skeletal survey. Rib fractures from CPR are also very rare. Essentially, any infant or child with a rib fracture and a history that does not strongly support legitimate trauma should induce further clinical investigation, which should include a chest X-ray and a skeletal survey.

Skull Fractures

Skull fractures are a result of a direct force applied to the head. They may be due to accidental or inflicted head trauma. Abusive head trauma should be considered when the fracture is complex, diastatic (width greater than 3 mm), multiple, occipital, and non-parietal. Any of these types of skull fractures should suggest the possibility of abusive head trauma.
 
I need to review the timeline, but is it possible that the parents called NV from the hospital and told her the doctors were questioning how the injuries occurred and this put her on the defensive? And then she lashed out by injuring little Leon?

The other thought was that maybe this was premeditated? Maybe she injured the first twin so she would be left alone with Leon?

It’s sickening to even try to imagine what she was thinking. This is all speculation, IMO.

All good thoughts and good questions! And sadly, we will likely never know, at least in a way that makes sense.

If I were prosecutors I’d be furiously getting warrants for her computers, phones, social media, etc….to at least start down the path towards a motive.
 
I need to review the timeline, but is it possible that the parents called NV from the hospital and told her the doctors were questioning how the injuries occurred and this put her on the defensive? And then she lashed out by injuring little Leon?

The other thought was that maybe this was premeditated? Maybe she injured the first twin so she would be left alone with Leon?

It’s sickening to even try to imagine what she was thinking. This is all speculation, IMO.
Well, she already was alone with Leon basically. I mean I wouldn't count the other infant who was also there... not much a 6 wk old can do to get in her way no matter what she had in mind.
 
Honestly, I was expecting to find out he had been “accidentally” burned while cleaning up a blow-out. How serious would a bruise and swelling (the injury I heard first) have to be for parents to run to the ER? How does one explain swelling, bruises, redness & scratches to an area that is usually covered by a cushy diaper?
and especially on an individual who can't exactly move himself around yet, to where he could get hurt.
 
I agree "they" (dangerous and deranged people) are everywhere but some jobs/professions/fields often provide access to the vulnerable. A good example is pervs who gravitate to positions where they have access to children. There are a lot of sadistic people in research fields with access to animals. Sadly, our society is not well and accepts it as normal and "necessary" (it's not). Anyway, what I mentioned I'd noticed about people with "issues" being attracted to the field of psychology is that they are often the ones who need analyzing.
100% I couldn't have said it better.
 
Sadist b****. I wonder how many animals she tortured in her "research".
Yes, and I have the same question. Moreover, I'd like to get to know whether NB had shown signs of future violent behavior as a child, such as cruelty to animals and other signs of Macdonald triad (though nowadays this theory has been debunked by some researches); also, whether she had experienced any kind of childhood abuse or/and had been exposed to domestic violence etc. Definitely, LE is working on these questions, and may have already gotten answers to them.
Everything written is MOO and reasoning.
 

What's a logical assumption? Why would she feel comfortable mentioning the twin's genital injuries to the parents unless she had reason to be observing genitals? If she was caring for the twin, changing his diapers would have made sense. I also brought up if the twins were recently circumcised. I have plenty of questions. No, we don't know for sure any of the details to try to understand what's being reported in the media or what kind of person or student NV is to assume anything about her at this point.

I’m not sure what you’re intending with the diaper points, since inflicting damage on a baby’s genitals doesn’t require a diaper change.
A perp could use the excuse of a diaper change, too, whether or not a diaper change actually took place or was needed.
 
Sadist b****. I wonder how many animals she tortured in her "research".
FWIW when I looked at her “research”, it seems to be creating databases of other folks’ actual research, analyzing the databases, and writing a brief summary of findings with about 8 other grad students. Total nothing burger in the “research” department: transparent attempt to publish “research” in order to get a job.
And look at the “findings” in those bogus “research” papers! You and I could think them up—with evidence—while having lunch with a screaming toddler and simultaneously entertaining a mother-in-law.

IMO doing database work is standard base-level for writing a dissertation. In any field. It’s a skill, not “research”. You have to have honed that skill before you embark on research with original (Ph.D.) findings and write up the research. In this field, it would be lab or clinical findings that you design and conduct. This is clinical psychology : it involves people, not book reports. Even at BA level, for an honors thesis, you would be required to demonstrate this skill AND devise an original study AND write up your experiment findings.
 
They obviously believed they knew her well and trusted her to babysit. You could also ask why people leave their precious little ones in daycare with people they know nothing about. I wouldn't.
I don’t see any evidence that these parents knew NV well. The only documented contact I’ve seen, even on social media, are two “well done” messages on FB. These are not personal, and very common. It sounds like they met at a conference and got chatting for a few minutes.

I don’t believe we know why for real NV was in Pittsburgh. Maybe she was chasing a romantic fantasy? Considering an internship at Pitt?
 
I don’t see any evidence that these parents knew NV well. The only documented contact I’ve seen, even on social media, are two “well done” messages on FB. These are not personal, and very common. It sounds like they met at a conference and got chatting for a few minutes.

I don’t believe we know why for real NV was in Pittsburgh. Maybe she was chasing a romantic fantasy? Considering an internship at Pitt?
Yes, it was misleading in the beginning that the defense attorney said something to the effect of their being “dear friends”. Of course in the era of social media people often feel close to others after a few pleasant exchanges on a professional forum. And it seems they trusted her in their apartment to watch their newborn twins. MOO
 

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