Found Deceased TX - Sherin Mathews, 3, Richardson, 7 Oct 2017 #8 *Arrests*

[Lorena]

With that many fractures shouldn't Sherin have been referred to an Orthopedic specialist for further investigation and determination?

Agreed. I'm really surprised there wasn't more done. Unless she was referred and the parents never took her to the appointment?

I have had a child in a Spica cast, not because of a femur break, but as a result of hip surgery to correct hip dysplasia. A spica cast is a huge thing, both literally and figuratively. My daughter's was a chest to toe body cast. It took so much work to take care of, but as her mom I never even questioned it. I need my child to get better. I spent a lot of time perfecting diapering and making sure her skin stayed as clean and healthy as possible. I'm a nurse and thought what a challenge it must be for non-medically trained parents.

I belong to several spica cast groups and some kids are in there for femur breaks. Usually young kids jumping off a really high place. Ex jumping off the top of the couch, off a playground. They end up in the ER in excruciating pain! I can't imagine a kid would just go on with life. I'm so horrified to think of how Sherin must have reacted to the break and they ignored her!

Otherwise there are kids with breaks from OI- osteogenesis imperfecta. Very rare condition where there's a mutation on a collagen gene and bones are super brittle and can break doing everyday activities. If this was suspected they'd have done genetic testing and sent her to multiple specialists. Since we're not hearing that, it sadly sounds like straight up child abuse.

Poor little Sherin.

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[Karinna]

What if WM or SM decided to plead guilty? Would it avoid trial then?
Curious, if WM took the fall for the entire thing, in exchange for Sini's immunity, would the court buy that? I have no idea, just wondering.

(quote)
Plea Bargain

Many criminal cases are resolved through a plea bargain, usually well before trial. In a plea bargain, the defendant agrees to plead guilty to one or more charges (often to a lesser charge than one for which the defendant could stand trial) in exchange for a more lenient sentence (and/or so that certain related charges are dismissed). Learn more about plea bargaining basics, the benefits and risks in entering into a plea agreement, some and the kinds of plea bargains typically negotiated.
http://criminal.findlaw.com/criminal-procedure/plea-bargain.html

 

[georgiajean]

I think the WFAA reporter is causing confusion by saying "further healing of fractures". My understanding is that the doctor has the Xrays for the healing fractures in Feb and the excuses from SM but the Xrays in March showed additional healing fractures proving potential abuse post Feb 2017, IMO.

Is the relevant testimony audible in any video ?

Not finding video, but here is another article.
From this article
In February, Sherin was hospitalized for a skin infection and possible joint and muscle infections. Dr. Dakil noted injuries in Sherin's upper arm bones, which Sini said was due to slipping off a playground set, but the injuries were not consistent with that explanation.
After looking at the x-rays, Dr. Dakil found that Sherin had a number of fractures in her legs. Sini explained the reason for the fractures was her brittle bones from poor diet in India. "After the second examination of X-rays in March, she concluded that Sherin’s bones weren’t brittle and that her injuries had occurred after her time in India. Sherin was not in daycare at the time, and her parents had been identified as her sole caregivers, The Dallas Morning News reported." http://www.ntd.tv/2017/11/30/update-sherin-mathews-showed-signs-of-abuse-doctor-said/

 

[sassyblue]

It's very quick and near the end

http://www.wfaa.com/news/local/dall...sherins-broken-bones-in-cps-hearing/495535415

Thank you for the link. That look was very interesting! I think you nailed it.

 

[Karinna]

Agreed. I'm really surprised there wasn't more done. Unless she was referred and the parents never took her to the appointment?

I have had a child in a Spica cast, not because of a femur break, but as a result of hip surgery to correct hip dysplasia. A spica cast is a huge thing, both literally and figuratively. My daughter's was a chest to toe body cast. It took so much work to take care of, but as her mom I never even questioned it. I need my child to get better. I spent a lot of time perfecting diapering and making sure her skin stayed as clean and healthy as possible. I'm a nurse and thought what a challenge it must be for non-medically trained parents.

I belong to several spica cast groups and some kids are in there for femur breaks. Usually young kids jumping off a really high place. Ex jumping off the top of the couch, off a playground. They end up in the ER in excruciating pain! I can't imagine a kid would just go on with life. I'm so horrified to think of how Sherin must have reacted to the break and they ignored her!

Otherwise there are kids with breaks from OI- osteogenesis imperfecta. Very rare condition where there's a mutation on a collagen gene and bones are super brittle and can break doing everyday activities. If this was suspected they'd have done genetic testing and sent her to multiple specialists. Since we're not hearing that, it sadly sounds like straight up child abuse.

Poor little Sherin.

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The pediatrician in this case went with the child abuse route in Sherin's case, so not sure if that particular doctor did more than just a simple test for vitamin D deficiency or more investigative testing for rickets which is a complication of the vitamin D deficiency in Indian children in low socio economic groups where there is poverty or in orphanages where children are malnourished?

 

[georgiajean]

Skin infections and possible joint/muscle infections?
Could those joint/muscle infections be the result of un-treated fractures?

 

[Karinna]

Skin infections and possible joint/muscle infections?
Could those joint/muscle infections be the result of un-treated fractures?

That would take a medical determination by the doctor i would think.

 

[georgiajean]

In cases of suspected child abuse, full skelatal x-rays are done, and then repeated about 2 weeks later to better determine age of fractures based on healing in-between the fractures. This info from this page: https://www.orthopaedicsone.com/display/MSKMed/Child+Abuse+Fractures I think this verifies that the Doctor was looking for healing in the visible fractures, not new fractures since the Feb. x-rays.

"A radiographic skeletal survey is the recommended diagnostic imaging modality and is mandatory for any child under two years of age for whom child abuse is suspected. Surveying the whole skeleton of an infant or young child may also provide evidence of previous fractures in addition to current injuries. A skeletal survey includes AP and lateral views of the skull and chest; an AP view of the pelvis, long bones of the extremities, and feet; lateral views of the spine; and a PA oblique view of the hands. While not required, oblique views of the ribs enhance the likelihood of identifying subtle fractures. Two additional, more detailed views should be obtained of any part that is suspicious for lesions on skeletal survey. A skeletal survey is not indicated in children greater than five years old because they can typically verbalize the mechanism of their injury.

A pediatric radiologist with experience imaging child abuse injuries should review the films and can usually help sort through the likelihood of each diagnosis on the differential. They look for signs of current fracture, hematoma, and periosteal reaction. The radiologist should be familiar with the stages of bone healing to better approximate the age of injuries.

In cases where lesions cannot be identified on the initial skeletal survey but clinical suspicion for abuse remains high, a repeat skeletal survey taken two weeks after the initial incident is recommended to increase diagnostic yield. Periosteal reaction of healing fractures may make previously unseen fractures more visible and may help determine the age of injuries.

While skeletal survey is the standard of care, additional imaging may include ultrasound, radionucleotide scan, and CT.

To rule out organic causes of bone fracture, a metabolic workup can be done. These labs should include serum levels of levels of alkaline phosphatase, calcium and phosphorous, PTH, and urinary calcium and phosphorous levels." https://www.orthopaedicsone.com/display/MSKMed/Child+Abuse+Fractures

 

[Amonet]

I hope that at the autopsy they took a sample for full genetic work up so they can check for the presence of known genetic disorders that might be relevant...either to rule them in or out.

 

[georgiajean]

That would take a medical determination by the doctor i would think.

I think the "joint/muscle infection" reason for bringing Sherin to hospital was actually a cover. The symptoms of joint/muscle infections are similar to the symptoms of broken bones.
My theory is they knew she had broken bones because they hurt her, they brought her to the hospital under another reason, and could then be "surprised" when she had fractures.
https://childrensnational.org/choos...joints-orthopaedics/bone-and-joint-infections

 

[georgiajean]

This is over an hour, but if you haven't listened to Maria Guerrero's livestream, summarizing the hearing. Tons of details. https://www.facebook.com/MariaGuerreroNews/videos/1062232650586185/

 

[yupikgirl]

I don't see it being offered to Wesley. I just hope they don't give Sini some kind of deal to testify against him.

I don’t think so either. I forgot to quote what I was responding to. Someone asked how it couldn’t go to trial.

Edit- Oops I was way behind I see this has been covered lol


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[yupikgirl]

Had not thought of that. However, I don't think in this case that will happen. The community would be incredibly outraged.

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I don’t think so either- no reason for the current charge and it has a lot of prison time!


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[margarita25]

In this video, at about the 1:38 mark, does anyone else notice what looks to be a bruise or scrapes on Sini's chin? It may be a birthmark I didn't notice before, but I don't see it in her mug shot

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I noticed it also...wonder if Big Bertha gave her a shove...give her a little taste of her own medicine.

 

[margarita25]

Let me see if I understand this.
The broken elbow was in Sept. 2016 (fell off of couch pushed by sister according to both Sini and Wesley).
In Feb. 2017 she had both shoulders broken (slipped on slide and both parents grabbed her arms, according to Sini).
The x-ray series in Feb. showed healing fractures in her tibia and femur. Dr. could not say when they occurred.
In March, a second x-ray series revealed that those fractures had further healed. Dr said this ruled out Sini's claim the fractures occurred in India as Sini had said.
From: http://www.wfaa.com/news/local/dall...sherins-broken-bones-in-cps-hearing/495535415

Is it possible her femur was fractured and she never saw a medical provider? Could Sini have provided home-setting and wrapping of these fractures? Or did they go out of state to get her seen?

Last night I couldn't stop thinking about how much physical pain little Sherin must have been in so much of the time. I would do anything to be able to go back in time and get her away from these monsters...wouldn't we all?!

My heart breaks every time I click on this thread. Like I said, can only do very small doses.

I want to say I really admire not only the caliber of posts here, but also the loving environment in here...it's refreshing to come here from some other threads where there seems to be snark, condescension, etc.

Question...what can we do to be part of the solution? God bless all those out there on the front lines.

How can I/we donate my time to maybe hang out, read to some of these kids, color, etc? What can we do?

 

[georgiajean]

another detail from Maria Guerrero's facebook live.
WM pled the 5th to:
turning off the location finder in his phone,
driving the car to drop Sherin's body in the culvert, and
throwing out some trash behind a store near the location of where he put Sherin's body.

 

[margarita25]

another detail from Maria Guerrero's facebook live.
WM pled the 5th to:
turning off the location finder in his phone,
driving the car to drop Sherin's body in the culvert, and
throwing out some trash behind a store near the location of where he put Sherin's body.

Argh, wonder what the trash was and at what store and when...thanks for the updates everyone. (Eta: I had mentioned Walmart as a possibility early on, I know Costco is a possible data point.)

All this pleading the 5th... :banghead:

Has any information been revealed about Sherin's sister, as far as doctors' results go (for example, confirmation of no broken bones, etc.)? Tia.

 

[MissMalowe]

Did the hearing on Wed. ever mention anything about daycare on Friday? I remember them asking about (paraphrasing) "Do you remember Sherin being ill on Thursday" but did they ever mention daycare on Friday?

 

[JaneEyre]

Information on bone infections. If she had a bone or joint infection, it was most likely caused by an untreated injury.

"Many organisms, most commonly*Staphylococcus aureus, travel through the bloodstream and can cause a bone infection. An infection may begin in one area of the body and spread to the bones via the blood stream.

Organisms that invade a severe injury, deep*cut, or*wound*can also cause infections in nearby bones. Bacteria can enter your system at *advertiser censored*surgical site, such as the site of *advertiser censored*hip replacement*or*bone fracture repair. When your bone breaks, bacteria can invade the bone, leading to osteomyelitis."

https://www.healthline.com/health/osteomyelitis#causes

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[margarita25]

In cases of suspected child abuse, full skelatal x-rays are done, and then repeated about 2 weeks later to better determine age of fractures based on healing in-between the fractures. This info from this page: https://www.orthopaedicsone.com/display/MSKMed/Child+Abuse+Fractures I think this verifies that the Doctor was looking for healing in the visible fractures, not new fractures since the Feb. x-rays.

"A radiographic skeletal survey is the recommended diagnostic imaging modality and is mandatory for any child under two years of age for whom child abuse is suspected. Surveying the whole skeleton of an infant or young child may also provide evidence of previous fractures in addition to current injuries. A skeletal survey includes AP and lateral views of the skull and chest; an AP view of the pelvis, long bones of the extremities, and feet; lateral views of the spine; and a PA oblique view of the hands. While not required, oblique views of the ribs enhance the likelihood of identifying subtle fractures. Two additional, more detailed views should be obtained of any part that is suspicious for lesions on skeletal survey. A skeletal survey is not indicated in children greater than five years old because they can typically verbalize the mechanism of their injury.

A pediatric radiologist with experience imaging child abuse injuries should review the films and can usually help sort through the likelihood of each diagnosis on the differential. They look for signs of current fracture, hematoma, and periosteal reaction. The radiologist should be familiar with the stages of bone healing to better approximate the age of injuries.

In cases where lesions cannot be identified on the initial skeletal survey but clinical suspicion for abuse remains high, a repeat skeletal survey taken two weeks after the initial incident is recommended to increase diagnostic yield. Periosteal reaction of healing fractures may make previously unseen fractures more visible and may help determine the age of injuries.

While skeletal survey is the standard of care, additional imaging may include ultrasound, radionucleotide scan, and CT.

To rule out organic causes of bone fracture, a metabolic workup can be done. These labs should include serum levels of levels of alkaline phosphatase, calcium and phosphorous, PTH, and urinary calcium and phosphorous levels." https://www.orthopaedicsone.com/display/MSKMed/Child+Abuse+Fractures

:goodpost: