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

[georgiajean]

Does anyone recall how it came to be known that she'd had that elbow injury? I know that one in particular had been discussed on here previously.

Her elbow injury occurred in Sept. 2016. She had surgery on it, and wore a cast. So she was taken to the Dr. for that injury. It was blamed on the older sister. The cast and surgery were known pieces of info before the hearing, but we didn't have all the details.

The shoulder/humerus fractures were identified by x-ray when Sherin was taken in and hospitalized in Feb, for cellulitis and suspected joint/muscle infections. x-rays are often done with those things, to rule out other conditions like fractures. Sini was surprised at the fractures and said the injuries occurred when Sherin fell off a jungle gym/slide and both parents grabbed her arms.

The other fractures (ribs, tibia, femur) were identified in full body x-ray series done in Feb and March when the pediatric child abuse expert was trying to rule out abuse or figure out what happened.

hope that helps. All this info came from Maria Guerrero's live stream of the hearing and her livestream covering her notes from the hearing.

 

[fridaybaker]

Just saw this on a local news site...http://www.kens5.com/news/cps-commissioner-child-protective-services-failed-sherin-mathews/496130405

Yes, but likely no one loses his job. This story, in various versions, happens every day in every city in every state. This site alone is rife with them.

 

[Grouchymom]

HAHAH If this wasn't from you I would be like WHAA?? but for real, I know it does sound that way, but I am really angry about all the things that were basically written off, so I want to know if they can do a test post mortem, to rule OUT any and all possible scenarios that the defense could bring up! The difference between my daughters friend and Sherin, is she is an otherwise happy healthy teenager now and she had been watched carefully by CPS when the kids were preschool age, and her parents fought every step of the way to get a proper diagnosis to get CPS out of their lives. They were able to say with certainty that she DID have weak bones. I think it may have been a bone density scan(?) that helped to diagnosis it, and then they said it was likely due to inadequate vitamin D during pregnancy, BUT it was something diagnosed, unlike Sherin where the Dr said they tested for everything and Sherin didn't have any issues. I guess I am just saying that there are cases of problems in kids who just "break" more easily, BUT if that is the case, it can still be diagnosed AND regardless of whether you have a child who breaks easily or not, it is your job as a parent to protect that child. They should have advocated for Sherin and pushed further for a diagnosis instead of asking to go see a GP over a pediatric specialist. If it was my kid, I would be begging to see the best of the best, not just blaming gravity, and I would pad my whole house if I had to to at least give the kid a safe place when the rest of the world can cause injury so easily.

JMO

I have had a difficult time getting caught up today and I have some info to share. I am sure that the Physician who testified at the most recent custody hearing was diligent in testing Sherin for any and all underlying medical conditions that would have affected Sherin’s bones. She stated on the stand that she ordered tests to eliminate any other cause and the only option remaining was abuse at the hands of another. That being said the autopsy will confirm much of what was included in that testimony and what is in Sherin’s medical records. The short time this Doctor testified did not begin to cover all off the information included in that stack of papers admitted into evidence. The information that trickled out to us wasn’t even the complete testimony by the Doctor.

All of that considered I wanted to share a little more info on Fractures in children. Maria Guerrero stated that the Doctor referred to a twisting involvement with one of the fractures and I have contacted her for further clarification so see if the Doctor actually used the term Spiral Facture in testimony and she said she would review the tape and let me know. As I have said before the spiral fracture is the Holy Grail of abuse injuries. It is always a prime indicator of abuse due to it’s cause and distinctive appearance. There are some other possible explanations but they are rare, as they would involve the hand or foot to remain absolutely stationary while the arm or leg twisted with great force. They leave a fracture that looks like a “spiral” line on the bone (see image below).

Greenstick fractures are the most common fracture that occurs during childhood and results from the bone bending further than possible and leaves a diagonal fracture. (See Below) there is little to no room for error in determining the actions or motions required to cause each different type of fracture. Even if bones were more susceptible to breaks by an underlying condition the required movement or action would still be required only the amount of force would change. So to give you and example, in children under the age of 1 spiral fractures occur when a child who has mastered rolling over or crawling is not cooperating during a diaper or clothing change and a frustrated parent grabs the leg or foot and attempts to roll the child onto their back with a quick swift twisting motion with force. I am sure anyone that has ever diapered a squirmy child can visualize what that would look like.

Let me clarify that a fracture is the same a break, they are not two separate things. Not all fractures are complete or compound. Meaning the break may not go all of the way through the bone or the bone may not break through the skin. It is my opinion at this time that at least some if not most of Sherin’s were incomplete and therefore remained in correct alignment and began heailing on their own without medical intervention. It seemed to me the testimony appeared to indicate some if not most of the fractures had not been treated prior to discovery in the full body x-ray series. If heallling has begun before discovery unless the fracture is causing majory deformity or impairment of use doctors will allow it to continue healing on its own. So lets look at an example of somone who is struck with a fireplace poker across the shin. In a normal healthy adult the medical professional knows that a resulting fracture would require a certain number of pounds per square inch of force and they know what to expect that fracture to look like and what classification it will fall into. By the same token a person with underlying medical conditions would require less pounds per square inch of force but the resulting fracture would have the same appearance and classification.. Now if the Doctor is told that the injury occurs when the patient was running, caught her foot between 2 rocks and fell foward the Doctor will know instantly upon reviewing the x-rays that the accident description did not match the fracture seen on the x-rays. This is what the Doctor meant about Sini’s story not matching the injury. She stated that she did not immediately jump to conclusions and notify CPS but began testing to rule out any other cause, the mark of a responsible physician. Now the autopsy report will show the fractures and healing in a clearer format but the simple fact that Sini lied about how they occurred alone is enough to doubt underlying conditions in my opinion. I also think we will see more fractures that occurred after the last x-rays and there is not one but 2 full series for comparison.

Below I have included some basic information on fractures and links for more.

Because their bones are softer and more likely to bend than break in half, kids are more likely to have incomplete fractures (fractures that go partially through the bone). Common incomplete fracture types include:

• 
  [*=left]buckle or torus fracture: one side of the bone bends, raising a little buckle, without breaking the other side
  [*=left]greenstick fracture: a partial fracture in which one side of the bone is broken and the other side bends (this fracture resembles what would happen if you tried to break a stick that had just been cut from a tree)

Mature bones are more likely to break completely. A stronger force will also result in a complete fracture of younger bones. A complete fracture may be a:

• 
  [*=left]closed fracture: a fracture that doesn't break the skin
  [*=left]open (or compound) fracture: a fracture in which the ends of the broken bone break through the skin (these have an increased risk of infection)
  [*=left]non-displaced fracture: a fracture in which the pieces on either side of the break line up
  [*=left]displaced fracture: a fracture in which the pieces on either side of the break are out of line (which might require the doctor to realign the bones or require surgery to make sure the bones are properly aligned before casting)

Other common fracture terms include:

• 
  [*=left]hairline fracture: a thin break in the bone
  [*=left]single fracture: the bone is broken in one place
  [*=left]segmental: the bone is broken in two or more places in the same bone
  [*=left]comminuted fracture: the bone is broken into more than two pieces or crushed

http://kidshealth.org/en/parents/b-bone.html#

STAGES OF BONE HEALING
When a bone is broken, the body immediately begins the heal*ing process to repair the injury and restore the body's equilib*rium. Within 48 to 72 hours after the injury, a hematoma forms at the site of the fracture because bone is extremely vascular. Blood supply to and within the bone usually diminishes be*cause of the injury, which causes an area of bone necrosis. The dead cells prompt migration of fibroblasts and osteoblasts to the fracture site as part of the inflammatory process. This prompts the formation of fibrocartilage, providing the founda*tion for bone healing (within 3 days to 2 weeks).
As a result of vascular and cellular proliferation, the frac*ture site is surrounded by new vascular tissue known as a cal*lus (within 2 to 6 weeks). Callus formation is the beginning of a nonbony union. As healing continues, the callus is trans*formed from a loose, fibrous tissue into bone (within 3 weeks to 6 months). Excess callus is resorbed. During the final phase of healing, consolidation, and remodeling, bone continues to be resorbed and deposited in response to stress, reshaping to meet mechanical demands. This process may start as early as 6 weeks after fracture and can continue for up to 1 year. Fig*ure 52-2 summarizes the stages of bone healing.
In young, healthy adult bone, healing takes about 6 weeks. In the older person who has reduced bone mass, healing time is lengthened; complete healing often takes 3 to 6 months. Other factors that affect healing include the severity of the trauma, the type of bone injured, inadequate immobilization, infections at the fracture site, and avascular necrosis (AVN).

http://intranet.tdmu.edu.ua/data/ka...s for clients with musculoskeletal trauma.htm

http://intranet.tdmu.edu.ua/data/ka...s for clients with musculoskeletal trauma.htm

http://pediatrics.aappublications.org/content/134/1/45

JMHO

 

[DatelineFan]

Her elbow injury occurred in Sept. 2016. She had surgery on it, and wore a cast. So she was taken to the Dr. for that injury. It was blamed on the older sister. The cast and surgery were known pieces of info before the hearing, but we didn't have all the details.

The shoulder/humerus fractures were identified by x-ray when Sherin was taken in and hospitalized in Feb, for cellulitis and suspected joint/muscle infections. x-rays are often done with those things, to rule out other conditions like fractures. Sini was surprised at the fractures and said the injuries occurred when Sherin fell off a jungle gym/slide and both parents grabbed her arms.

The other fractures (ribs, tibia, femur) were identified in full body x-ray series done in Feb and March when the pediatric child abuse expert was trying to rule out abuse or figure out what happened.

hope that helps. All this info came from Maria Guerrero's live stream of the hearing and her livestream covering her notes from the hearing.

Just a side note that I can't hold in any longer: every time I read this ridiculous story about both parents grabbing her arms when she fell off the slide, I get angry. It's absolute BS, and I find it insulting that she would think anyone would believe it! I mean really?!

Sent from my SM-G955U using Tapatalk

 

[Grouchymom]

Kansas has a Child Abuse and Neglect Registry. I assumed all states had one but I have never done any research.

http://www.dcf.ks.gov/services/PPS/Pages/Child-Abuse-and-Neglect-Central-Registry.aspx

Not all states do and currently that is a slippery slope. I believe a registry could be a positive thing but we have to first make sure that Social Services is doing their job responsibly and accurately as the system is currently not performing at a level I would be comfortable with giving the the power of the registry. Abuse is decided in civil court not criminal and a person can be determined an abuse without the protections of due process in a criminal proceeding. We need to improve the way we decided who abusers are or are not and then determine what type would be listed on the registry. I wouldn’t want the father who just lost his job and lost his temper and wacked his child on the backside or the parent that told a teenager no and she told a lie to get even, to be listed with the Sini and WM’s of the world. I think we need a national universal standard for such a registry. JMHO

 

[CTHR]

I have had a difficult time getting caught up today and I have some info to share. I am sure that the Physician who testified at the most recent custody hearing was diligent in testing Sherin for any and all underlying medical conditions that would have affected Sherin’s bones. She stated on the stand that she ordered tests to eliminate any other cause and the only option remaining was abuse at the hands of another. That being said the autopsy will confirm much of what was included in that testimony and what is in Sherin’s medical records. The short time this Doctor testified did not begin to cover all off the information included in that stack of papers admitted into evidence. The information that trickled out to us wasn’t even the complete testimony by the Doctor.

All of that considered I wanted to share a little more info on Fractures in children. Maria Guerrero stated that the Doctor referred to a twisting involvement with one of the fractures and I have contacted her for further clarification so see if the Doctor actually used the term Spiral Facture in testimony and she said she would review the tape and let me know. As I have said before the spiral fracture is the Holy Grail of abuse injuries. It is always a prime indicator of abuse due to it’s cause and distinctive appearance. There are some other possible explanations but they are rare, as they would involve the hand or foot to remain absolutely stationary while the arm or leg twisted with great force. They leave a fracture that looks like a “spiral” line on the bone (see image below).

Greenstick fractures are the most common fracture that occurs during childhood and results from the bone bending further than possible and leaves a diagonal fracture. (See Below) there is little to no room for error in determining the actions or motions required to cause each different type of fracture. Even if bones were more susceptible to breaks by an underlying condition the required movement or action would still be required only the amount of force would change. So to give you and example, in children under the age of 1 spiral fractures occur when a child who has mastered rolling over or crawling is not cooperating during a diaper or clothing change and a frustrated parent grabs the leg or foot and attempts to roll the child onto their back with a quick swift twisting motion with force. I am sure anyone that has ever diapered a squirmy child can visualize what that would look like.

Let me clarify that a fracture is the same a break, they are not two separate things. Not all fractures are complete or compound. Meaning the break may not go all of the way through the bone or the bone may not break through the skin. It is my opinion at this time that at least some if not most of Sherin’s were incomplete and therefore remained in correct alignment and began heailing on their own without medical intervention. It seemed to me the testimony appeared to indicate some if not most of the fractures had not been treated prior to discovery in the full body x-ray series. If heallling has begun before discovery unless the fracture is causing majory deformity or impairment of use doctors will allow it to continue healing on its own. So lets look at an example of somone who is struck with a fireplace poker across the shin. In a normal healthy adult the medical professional knows that a resulting fracture would require a certain number of pounds per square inch of force and they know what to expect that fracture to look like and what classification it will fall into. By the same token a person with underlying medical conditions would require less pounds per square inch of force but the resulting fracture would have the same appearance and classification.. Now if the Doctor is told that the injury occurs when the patient was running, caught her foot between 2 rocks and fell foward the Doctorr will know instantly upon reviewing the x-rays that the accident description did not match the fracture seen on the x-rays. This is what the Doctor meant about Sini’s story not matching the injury. She stated that she did not immediately jump to conclusions and notify CPS but began testing to rule out any othe cause, the mark of a responsible physician. Now the autopsy report will show the fractures and healing in a clearer format but the simple fact that Sini lied about how they occurred alone is enough to doubt underlying conditions in my opinion. I also think we will see more fractures that occurred after the last x-rays and there is not one but 2 full series for comparison.

Below I have ihncludd some basic information on fractures and links for more.



http://kidshealth.org/en/parents/b-bone.html#


http://intranet.tdmu.edu.ua/data/ka...s for clients with musculoskeletal trauma.htm

http://intranet.tdmu.edu.ua/data/ka...s for clients with musculoskeletal trauma.htm

http://pediatrics.aappublications.org/content/134/1/45

GrouchyMom , go to the head of the class, what awesome information ! Eli is just healing from a buckle fracture ( fell over kitties trying to scoop up chicks that escaped the brooder, but he says he was chasing girls ! ) and it was an interesting process . And he was questioned as to how it occurred . We had never heard of a buckle fracture , this was pretty painful .
Cannot imagine the suffering this little girl experienced . And I wonder if Sini gave her pain medication ?

 

[DatelineFan]

GrouchyMom , go to the head of the class, what awesome information ! Eli is just healing from a buckle fracture ( fell over kitties trying to scoop up chicks that escaped the brooder, but he says he was chasing girls ! ) and it was an interesting process . And he was questioned as to how it occurred . We had never heard of a buckle fracture , this was pretty painful .
Cannot imagine the suffering this little girl experienced . And I wonder if Sini gave her pain medication ?

I've seen the pain medication mentioned a few times. Unless she had previously prescribed medication, I doubt it. It's EXTREMELY difficult to steal pain medication these days, without being caught. Especially in a hospital setting like Sini was working in.

Ugh. Poor Sherin. I can't imagine how much she suffered throughout her short life.

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[i8mypaint]

I snipped too much georgiajean said this:

Sniped by me

The shoulder/humerus fractures were identified by x-ray when Sherin was taken in and hospitalized in Feb, for cellulitis and suspected joint/muscle infections. x-rays are often done with those things, to rule out other conditions like fractures. Sini was surprised at the fractures and said the injuries occurred when Sherin fell off a jungle gym/slide and both parents grabbed her arms.

Snipped by me

hope that helps. All this info came from Maria Guerrero's live stream of the hearing and her livestream covering her notes from the hearing.[/QUOTE]


I say this:
Maria said in her live stream that SM said Sherin fell down the stairs and SM grabbed her arm... but dr said it was twisted in a way that did not match a parent catching her. Somewhere along the line someone said both parents and a slide... but Maria Guerrero said differently today. I think this may be important because SM was there for these injuries.... there is always some truth in a lie... she did grab her arm... and broke it.


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[georgiajean]

Just a side note that I can't hold in any longer: every time I read this ridiculous story about both parents grabbing her arms when she fell off the slide, I get angry. It's absolute BS, and I find it insulting that she would think anyone would believe it! I mean really?!

Sent from my SM-G955U using Tapatalk

Amazing. I think that she thought she would get away with a lot, since she was an rn. People believed her. And the reality is that she did get away with a lot, and they did believe her. A real shame.

A new thought I had tonight... Perhaps WM also believed SM and followed her lead when it came to medical stuff about the kids. He comes home, Sherin is hurt, Sini tells a story using medical lingo, and he believes her. He believes her about injuries, about Sherin's failure to thrive, about a skin infection, about why Sherin doesn't eat, etc. Sini home alone with Sherin, twisting this narrative. Ugh. Not providing an excuse. I just saw a way to explain how Sini could have been the perpetrator, and Wesley the follower.

 

[DatelineFan]

Amazing. I think that she thought she would get away with a lot, since she was an rn. People believed her. And the reality is that she did get away with a lot, and they did believe her. A real shame.

A new thought I had tonight... Perhaps WM also believed SM and followed her lead when it came to medical stuff about the kids. He comes home, Sherin is hurt, Sini tells a story using medical lingo, and he believes her. He believes her about injuries, about Sherin's failure to thrive, about a skin infection, about why Sherin doesn't eat, etc. Sini home alone with Sherin, twisting this narrative. Ugh. Not providing an excuse. I just saw a way to explain how Sini could have been the perpetrator, and Wesley the follower.

Dang. I suppose that could be the case. However, I have to believe that any neurotypical adult would become skeptical. Children (and adults) don't break bones on a regular basis. They just don't. So while I can believe WM may not have known for some time, I don't believe for one second that he did not know something wasn't right after a couple of months. There's no way.

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[MarisaS1985]

Dang. I suppose that could be the case. However, I have to believe that any neurotypical adult would become skeptical. Children (and adults) don't break bones on a regular basis. They just don't. So while I can believe WM may not have known for some time, I don't believe for one second that he did not know something wasn't right after a couple of months. There's no way.

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Since we don't actually know which dr's visits he did attend, but do know he did attend on occasion, perhaps he was told at those appointments what Sini had already been saying, he may have been oblivious right up until CPS showed up at the door and "ruined their weekend plans". I don't know if there were any more signs of injuries AFTER CPS became involved, but it would not surprise me if they did not injure her during this time frame, until the final blow.

JMO

 

[DatelineFan]

Since we don't actually know which dr's visits he did attend, but do know he did attend on occasion, perhaps he was told at those appointments what Sini had already been saying, he may have been oblivious right up until CPS showed up at the door and "ruined their weekend plans". I don't know if there were any more signs of injuries AFTER CPS became involved, but it would not surprise me if they did not injure her during this time frame, until the final blow.

JMO

Maybe. But I would assume she would have swelling, pain, and mobility issues. Who knows. I just don't believe he was clueless.

I do think you have a good point that people were more likely to believe her since she was a nurse.

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[georgiajean]

From Maria Guerrero's livestream notes:
The whole family slept in the same room. Sherin had a crib in the room.
I remember many threads ago there was a lot of discussion about that. So wanted to make sure everyone had heard that.

 

[Grouchymom]

Here is some additional info on [FONT=&amp]Evaluating Children With Fractures for Child Physical Abuse [/FONT]from the American Academy of Pediatrics:

[FONT=&amp]Vitamin D insufficiency was not associated with multiple fractures, in particular rib fractures or CMLs, the high specificity indicators of abuse. Perez-Rossello et al studied radiographs of 40 healthy older infants and toddlers with vitamin D insufficiency and deficiency and concluded that radiographic rachitic changes were uncommon and very mild. In this population, [/FONT]the reported fracture prevalence was zero.72

When evaluating a child with a fracture, physicians must take a careful history of any injury event and then determine whether the mechanism described and the severity and timing are consistent with the injury identified (see Table 3).133 They must consider and evaluate for possible diagnoses in addition to other signs or symptoms of child abuse. A careful evaluation for other injuries is important because the presence of additional injuries that are associated with child abuse increases the likelihood that a particular fracture was inflicted.16,43 It is important to remember that even if a child has an underlying disorder or disability that could increase the likelihood of a fracture, the child may also have been abused because children with disabilities and other special health care needs are at increased risk of child abuse.83,84 Physicians should keep an open mind to the possibility of abuse and remember that child abuse occurs in all socioeconomic groups and across all racial and ethnic groups. Many of these diagnoses are complex. If a physician is uncertain about how to evaluate an injury or if they should suspect a fracture was caused by child abuse, they should consult a child abuse pediatrician or multidisciplinary child abuse team to assist in the evaluation, particularly if the child is nonambulatory or younger than 1 year of age.134 In certain circumstances, the physician will need to consult an orthopedist, endocrinologist, geneticist, or other subspecialists.

The American College of Radiology has developed specific practice guidelines for skeletal surveys in children.111 Twenty-one images are obtained, including frontal images of the appendicular skeleton, frontal and lateral views of the axial skeleton, and oblique views of the chest. Oblique views of the chest have been shown to increase the sensitivity, specificity, and accuracy of the identification of rib fractures.112 A full 4 skull series should be obtained if there are concerns of head injury. Computed tomography (CT) 3-dimensional models are valuable adjuncts to the radiographs and have the potential to replace the skull series.1

An understanding of the extent and type of load that is necessary to cause a particular long bone fracture can help to determine whether a specific fracture is consistent with the injury described by the caregiver.35,36Transverse fractures of the long bones are caused by the application of a bending load in a direction that is perpendicular to the bone, whereas spiral fractures are caused by torsion or twisting of a long bone along its long axis. Oblique fractures are caused by a combination of bending and torsion loads.37Torus or buckle fractures are the result of compression from axial loading along the length of the bone.

The femur, humerus, and tibia are the most common long bones to be injured by child abuse.1,34 Femoral fractures in the nonambulatory child are more likely caused by child abuse, whereas these fractures in ambulatory children are most commonly noninflicted.10,16,43–45

Specifically, it is important to recognize that any fracture, even fractures that are commonly noninflicted injuries, can be caused by child abuse. Certain details that can help the physician determine whether a fracture was caused by abuse rather than unintentional injury include the history, the child’s age and developmental stage, the type and location of the fracture, the age of the fracture, and an understanding of the mechanism that causes the particular type of fracture. The presence of multiple fractures, fractures of different ages or stages of healing, delay in obtaining medical treatment, and the presence of other injuries suspicious for abuse (eg, coexisting injuries to the skin, internal organs, or central nervous system) should alert the physician to possible child abuse.

http://pediatrics.aappublications.org/content/133/2/e477

BBM JMHO

 

[MarisaS1985]

Maybe. But I would assume she would have swelling, pain, and mobility issues. Who knows. I just don't believe he was clueless.

I do think you have a good point that people were more likely to believe her since she was a nurse.

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If I have to play devils advocate for WM I would say it looked something like Sini calling and said she had to bring Sherin to the hospital because she was pushed off the couch, sibling rivalry. He likely rushed to the hospital for that because first injury, new to them baby, and all of that.

The Dr couldn't refute this at this time and the parents seem concerned, plus Sini was an employee and possible coworker at this location, so professional courtesy. No one mentioned that it seemed awkward. Plus, their other daughter (to our knowledge) was never injured in Sini's care, so it can be rationalized.

Then when other things occur he believes accident and wonders how bad, doesn't necessarily go in unless it's going to be awhile, plus, someone has to stay with older sister if they are only going to be a few hours. Sini comes home and says "they said she has a vit deficiency and weak bones because of the orphanage not feeding her properly."

Soon enough Sherin is having "feeding problems" was this milk filled with pain meds to stop her from crying? OTC drugs in food taste horrible, but if milk was the only thing offered to her and Sini was the one making the bottle/cup, then WM may not have ever considered the milk wasn't just milk, OR she may have told him that the stuff she was putting in it was to help strengthen her bones, vitamins that they can't get her to chew or swallow, extra calories like a shake... plenty of possible excuses.

Then she brings Sherin in for the possible infection, knowing that it needs treated and can't be ignored. She didn't expect them to do full xrays or to find all these other injuries in various stages of healing. She goes home with Sherin, he asks what took so long and she "cries" and says they think that they are abusing Sherin and then she makes the call to the dr who said that she can't take the call to CPS back. This is the first WM has heard of possible abuse and CPS comes knocking and he honestly doesn't know how those injuries occurred, except for what he was told.

CPS can't figure things out for whatever reason, and they likely say that they HAVE TO bring Sherin to all appointments and that if there is anything else they will take the children. Sini behaves herself and Sherin doesn't have anymore BAD injuries for a few months, so she then asks if they can go to their local GP instead of having to travel to Dallas to see the new Dr regularly. This prompts the Dr's July phone call to CPS and as new abuse wasn't noted so they accept it and more or less officially drop the ball.

Sini continues to behave until the final blow is struck. WM can't believe what the heck has happened and feels like everything is all his fault. How did he not see this? How did he not listen to CPS? How did he not believe the Dr? He remembers that CPS said anymore signs of abuse and they would have to take the kids and he goes into survival mode and allows Sherin to die and then hides her to try and "protect" his family...

I have no clue if this is HOW it happened, but I know many dads (including my own) who NEVER go to dr's appointments or the hospital unless it is something quite serious. My mom did it because she was a sahm and I did it with my kids because I am a sahm. It is generally up to US to report to the rest of the family, what the Dr said or did and what treatment is required, and then we generally administer any medications etc. It is easier for the person who stays home most of the time, to do the medications and such, simply because there is no confusion as to when things were done.

I am NOT saying WM is innocent or he didn't know at all. BUT if he flips, I imagine his story will be a strong plea of ignorance to the abuse until it was too late, followed with this deep need to protect his other daughter... This, could also be the reason he demanded to be in court AND set court back TWICE and after the first court date went and turned himself in,again, with the story that he knew would get Sini arrested and away from their other child. I don't think he realized he could be risking termination of his rights but i do think he was acting to protect older daughter and "sacrificed" his own freedom (and a large sum of money) to make sure CPS didn't give their other child back to Sini....

JMThoughts on what COULD happen, NOT what I believe actually happened!!

 

[georgiajean]

I snipped too much georgiajean said this:

Sniped by me

The shoulder/humerus fractures were identified by x-ray when Sherin was taken in and hospitalized in Feb, for cellulitis and suspected joint/muscle infections. x-rays are often done with those things, to rule out other conditions like fractures. Sini was surprised at the fractures and said the injuries occurred when Sherin fell off a jungle gym/slide and both parents grabbed her arms.

Snipped by me

hope that helps. All this info came from Maria Guerrero's live stream of the hearing and her livestream covering her notes from the hearing.

I say this:
Maria said in her live stream that SM said Sherin fell down the stairs and SM grabbed her arm... but dr said it was twisted in a way that did not match a parent catching her. Somewhere along the line someone said both parents and a slide... but Maria Guerrero said differently today. I think this may be important because SM was there for these injuries.... there is always some truth in a lie... she did grab her arm... and broke it.


Sent from my iPhone using Tapatalk[/QUOTE]

I'm glad you brought this up. I didn't realize there was conflicting reports of what was said.
The DA asked Sini about bi-lateral humerous fractures.
Other reporters in the courtroom takled abuot the bilateral fractures, and the grabbing of the arms on a playground structure. (perhaps it was the stairs of a structure?).
Here is one: [video=twitter;935984113311453184]https://twitter.com/jobinpnews/status/935984113311453184[/video] "Witness says in Feb 8, 9th said #SherinMathews was admitted for bilateral fractures. Parents said she slipped on slide and they had grabbed her. WM was not there to give that explanation @wfaa"

 

[georgiajean]

If I have to play devils advocate for WM I would say it looked something like Sini calling and said she had to bring Sherin to the hospital because she was pushed off the couch, sibling rivalry. He likely rushed to the hospital for that because first injury, new to them baby, and all of that.

The Dr couldn't refute this at this time and the parents seem concerned, plus Sini was an employee and possible coworker at this location, so professional courtesy. No one mentioned that it seemed awkward. Plus, their other daughter (to our knowledge) was never injured in Sini's care, so it can be rationalized.

Then when other things occur he believes accident and wonders how bad, doesn't necessarily go in unless it's going to be awhile, plus, someone has to stay with older sister if they are only going to be a few hours. Sini comes home and says "they said she has a vit deficiency and weak bones because of the orphanage not feeding her properly."

Soon enough Sherin is having "feeding problems" was this milk filled with pain meds to stop her from crying? OTC drugs in food taste horrible, but if milk was the only thing offered to her and Sini was the one making the bottle/cup, then WM may not have ever considered the milk wasn't just milk, OR she may have told him that the stuff she was putting in it was to help strengthen her bones, vitamins that they can't get her to chew or swallow, extra calories like a shake... plenty of possible excuses.

Then she brings Sherin in for the possible infection, knowing that it needs treated and can't be ignored. She didn't expect them to do full xrays or to find all these other injuries in various stages of healing. She goes home with Sherin, he asks what took so long and she "cries" and says they think that they are abusing Sherin and then she makes the call to the dr who said that she can't take the call to CPS back. This is the first WM has heard of possible abuse and CPS comes knocking and he honestly doesn't know how those injuries occurred, except for what he was told.

CPS can't figure things out for whatever reason, and they likely say that they HAVE TO bring Sherin to all appointments and that if there is anything else they will take the children. Sini behaves herself and Sherin doesn't have anymore BAD injuries for a few months, so she then asks if they can go to their local GP instead of having to travel to Dallas to see the new Dr regularly. This prompts the Dr's July phone call to CPS and as new abuse wasn't noted so they accept it and more or less officially drop the ball.

Sini continues to behave until the final blow is struck. WM can't believe what the heck has happened and feels like everything is all his fault. How did he not see this? How did he not listen to CPS? How did he not believe the Dr? He remembers that CPS said anymore signs of abuse and they would have to take the kids and he goes into survival mode and allows Sherin to die and then hides her to try and "protect" his family...

I have no clue if this is HOW it happened, but I know many dads (including my own) who NEVER go to dr's appointments or the hospital unless it is something quite serious. My mom did it because she was a sahm and I did it with my kids because I am a sahm. It is generally up to US to report to the rest of the family, what the Dr said or did and what treatment is required, and then we generally administer any medications etc. It is easier for the person who stays home most of the time, to do the medications and such, simply because there is no confusion as to when things were done.

I am NOT saying WM is innocent or he didn't know at all. BUT if he flips, I imagine his story will be a strong plea of ignorance to the abuse until it was too late, followed with this deep need to protect his other daughter... This, could also be the reason he demanded to be in court AND set court back TWICE and after the first court date went and turned himself in,again, with the story that he knew would get Sini arrested and away from their other child. I don't think he realized he could be risking termination of his rights but i do think he was acting to protect older daughter and "sacrificed" his own freedom (and a large sum of money) to make sure CPS didn't give their other child back to Sini....

JMThoughts on what COULD happen, NOT what I believe actually happened!!

Ah, you gave me an idea. Going off of your scenario, and some other posts by others on who knows what thread, On Wed, Sherin sustains a head injury at Sini's hands. Sherin is sick, not hungry, etc. Sherin stays home Thursday. Friday after work, WM comes home and thinks Sherin is fine, and goes through the procedure to try to get Sherin to eat. She doesn't. the battle ensues. Sherin throw's up. they go out to eat. they return, and Sherin still won't eat, and is showing signs of weakness and the head trauma. WM takes her into the garage in case she throws up again. She deteriorates rapidly, chokes, aspirates, etc. WM thinks that he killed Sherin, when actually it was the head injury/trauma/abuse. WM thinks he killed Sherin, and did not try to save her (watched her pulse fail.) all IMO

 

[Rocco]

Amazing. I think that she thought she would get away with a lot, since she was an rn. People believed her. And the reality is that she did get away with a lot, and they did believe her. A real shame.

A new thought I had tonight... Perhaps WM also believed SM and followed her lead when it came to medical stuff about the kids. He comes home, Sherin is hurt, Sini tells a story using medical lingo, and he believes her. He believes her about injuries, about Sherin's failure to thrive, about a skin infection, about why Sherin doesn't eat, etc. Sini home alone with Sherin, twisting this narrative. Ugh. Not providing an excuse. I just saw a way to explain how Sini could have been the perpetrator, and Wesley the follower.

And who was sitting at the kitchen table crying in the early morning hours of the 7th? Wesley--not Sini. Has this woman ever shed a tear over the death of her daughter? Still---I have to come back to the fact that Wesley left Sherin home alone on the evening of the 6th, right along with Sini. That makes him a cold, uncaring monster, right along with her.

 

[edimmu]

Amazing. I think that she thought she would get away with a lot, since she was an rn. People believed her. And the reality is that she did get away with a lot, and they did believe her. A real shame.

A new thought I had tonight... Perhaps WM also believed SM and followed her lead when it came to medical stuff about the kids. He comes home, Sherin is hurt, Sini tells a story using medical lingo, and he believes her. He believes her about injuries, about Sherin's failure to thrive, about a skin infection, about why Sherin doesn't eat, etc. Sini home alone with Sherin, twisting this narrative. Ugh. Not providing an excuse. I just saw a way to explain how Sini could have been the perpetrator, and Wesley the follower.

I have been thinking about this all day and you could be right, but int he end, he did know she died and participated in dumping her body like she was garbage.

 

[Deleted member 158085]

I have had a difficult time getting caught up today and I have some info to share. I am sure that the Physician who testified at the most recent custody hearing was diligent in testing Sherin for any and all underlying medical conditions that would have affected Sherin’s bones. She stated on the stand that she ordered tests to eliminate any other cause and the only option remaining was abuse at the hands of another. That being said the autopsy will confirm much of what was included in that testimony and what is in Sherin’s medical records. The short time this Doctor testified did not begin to cover all off the information included in that stack of papers admitted into evidence. The information that trickled out to us wasn’t even the complete testimony by the Doctor.

All of that considered I wanted to share a little more info on Fractures in children. Maria Guerrero stated that the Doctor referred to a twisting involvement with one of the fractures and I have contacted her for further clarification so see if the Doctor actually used the term Spiral Facture in testimony and she said she would review the tape and let me know. As I have said before the spiral fracture is the Holy Grail of abuse injuries. It is always a prime indicator of abuse due to it’s cause and distinctive appearance. There are some other possible explanations but they are rare, as they would involve the hand or foot to remain absolutely stationary while the arm or leg twisted with great force. They leave a fracture that looks like a “spiral” line on the bone (see image below).

Greenstick fractures are the most common fracture that occurs during childhood and results from the bone bending further than possible and leaves a diagonal fracture. (See Below) there is little to no room for error in determining the actions or motions required to cause each different type of fracture. Even if bones were more susceptible to breaks by an underlying condition the required movement or action would still be required only the amount of force would change. So to give you and example, in children under the age of 1 spiral fractures occur when a child who has mastered rolling over or crawling is not cooperating during a diaper or clothing change and a frustrated parent grabs the leg or foot and attempts to roll the child onto their back with a quick swift twisting motion with force. I am sure anyone that has ever diapered a squirmy child can visualize what that would look like.

Let me clarify that a fracture is the same a break, they are not two separate things. Not all fractures are complete or compound. Meaning the break may not go all of the way through the bone or the bone may not break through the skin. It is my opinion at this time that at least some if not most of Sherin’s were incomplete and therefore remained in correct alignment and began heailing on their own without medical intervention. It seemed to me the testimony appeared to indicate some if not most of the fractures had not been treated prior to discovery in the full body x-ray series. If heallling has begun before discovery unless the fracture is causing majory deformity or impairment of use doctors will allow it to continue healing on its own. So lets look at an example of somone who is struck with a fireplace poker across the shin. In a normal healthy adult the medical professional knows that a resulting fracture would require a certain number of pounds per square inch of force and they know what to expect that fracture to look like and what classification it will fall into. By the same token a person with underlying medical conditions would require less pounds per square inch of force but the resulting fracture would have the same appearance and classification.. Now if the Doctor is told that the injury occurs when the patient was running, caught her foot between 2 rocks and fell foward the Doctor will know instantly upon reviewing the x-rays that the accident description did not match the fracture seen on the x-rays. This is what the Doctor meant about Sini’s story not matching the injury. She stated that she did not immediately jump to conclusions and notify CPS but began testing to rule out any other cause, the mark of a responsible physician. Now the autopsy report will show the fractures and healing in a clearer format but the simple fact that Sini lied about how they occurred alone is enough to doubt underlying conditions in my opinion. I also think we will see more fractures that occurred after the last x-rays and there is not one but 2 full series for comparison.

Below I have included some basic information on fractures and links for more.



http://kidshealth.org/en/parents/b-bone.html#


http://intranet.tdmu.edu.ua/data/ka...s for clients with musculoskeletal trauma.htm

http://intranet.tdmu.edu.ua/data/ka...s for clients with musculoskeletal trauma.htm

http://pediatrics.aappublications.org/content/134/1/45

JMHO

OT - Now I don't understand what kind of fracture my first broken arm was. The middle of my forearm snapped and it appeared I had a second elbow there. I always thought it was a compound fracture, but it didn't break the skin. It otherwise looked like a compound fracture, though. (My mother called ahead to the hospital and they asked her how she knew it was broken. She basically told them it was because she wasn't an idiot.)

Kids can be tough. I was 5, broke it at a neighbor's house, and first asked their mom for a bandaid. I cried later. But man, I tried to suck it up in front of the other kids.

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