GUILTY FL - Chance Walsh, 7 wks, North Port, 7 Oct 2015 #2

[CharlestonGal]

Floor + ribs could equal cpr. But I'm not sure, given what we know now, that either of those two would bother with CPR.

The 911 operator would have given infant CPR instructions while medics were en route. It's standard to place the victim on a hard surface (such as the floor) for more effective CPR. Infant CPR is different than adult CPR and they would have been instructed to cover the infant's mouth and nose with their own mouth and provide respirations through both - unlike an adult where you pinch the nostrils closed and breathe only through the mouth, and use only two fingers for chest compressions. Or conversely, lie the infant on your forearm, supporting the head with one hand and applying compressions with the other, which is the preferred method.

Of course, it's always possible that even though the 911 operator was giving CPR instructions that doesn't mean either of them actually carried out those instructions, or carried them out properly.

 

[passionflower]

Grandparents KNEW she 'despised' baby Chance.............why? just because he wasn't Duane?
That doesn't make any sense..............every child has their own unique personality.
She did drugs, she is why her baby was premature etc.
No one helped Chance............I despise these people in his life.

 

[Curiosum]

Would the ME still rule kidney infection if it was sepsis? TIA

Have we seen the official ME report? [I haven't.] Or is the ME cause of death coming from the media and or KB's Facebook reports?

If the ME felt that the baby died from sepsis and that a kidney infection was the infectious cause of the sepsis they would report both. I can easily see that being reported in the media as pyelonephritis which isn't completely inaccurate because without the pyelonephritis the baby wouldn't have developed sepsis.

When I complete death certificates I'm generally asked to list the proximate cause of death and then if that cause was the result of any other conditions. Finally I list contributing conditions/factors. So if I was doing this for a child who died as a result of the cascade I hypothesized on my first post on the thread it would be something like this:
DIC
as a result of Severe Sepsis
as a result of Pyelonephritis
Contributing Factors: Prematurity (Was he actually premature? If he was born 3 weeks before his due date then he would be considered to be born at term)

 

[Hoosgirl]

How does one determine frequent urination in a newborn, anyway? I'm skeptical that she did and was concerned enough to bring it to the pediatrician's attention.

 

[Curiosum]

Thank you so much for your information! Do you think Duane's DX would be considered acute or chronic (if his DX was DIC)? Considering his age, I am leaning towards acute, however peds deteriorate quicker than adults. I appreciate your input!

If the DIC was a complication of sepsis then it would be acute and often fatal. Management of acute DIC involves addressing the underlying cause and supportive care with blood products (i.e. cryoprecipitate).

Just to be clear Chronic (compensated) DIC does exist but is not relevant to this discussion as a possible explanation.

 

[CharlestonGal]

Have we seen the official ME report? [I haven't.] Or is the ME cause of death coming from the media and or KB's Facebook reports?

If the ME felt that the baby died from sepsis and that a kidney infection was the infectious cause of the sepsis they would report both. I can easily see that being reported in the media as pyelonephritis which isn't completely inaccurate because without the pyelonephritis the baby wouldn't have developed sepsis.

When I complete death certificates I'm generally asked to list the proximate cause of death and then if that cause was the result of any other conditions. Finally I list contributing conditions/factors. So if I was doing this for a child who died as a result of the cascade I hypothesized on my first post on the thread it would be something like this:
DIC
as a result of Severe Sepsis
as a result of Pyelonephritis
Contributing Factors: Prematurity (Was he actually premature? If he was born 3 weeks before his due date then he would be considered to be born at term)

We saw Duane's death certificate way back in the first thread somewhere. It read:

Cause of death: Acute pyelonephritis.
Manner of death: Natural.

There were no contributing causes such as DIC or sepsis listed.

 

[strawberry]

How does one determine frequent urination in a newborn, anyway? I'm skeptical that she did and was concerned enough to bring it to the pediatrician's attention.

They should have been taught how many wet diapers to look for. At two weeks, at least 5-6 wet diapers a day

 

[Curiosum]

As far as Duane's nose bleed, I have done some research and consulted with an Infectious Disease Consultant. As a result, I believe if the nose bleed was indeed related to Disseminated Intravascular Coagulation (DIC) it would more likely to be related to an injury vs infection (but still very unlikely). The probable cause of the nose bleed is most likely related to the kidney infection but in the fact that the kideny's control blood pressure therefore if the kidney's are taxed, blood pressure would rise causing the nose bleed. I hope this makes sense. I am trying to stay within being able to say "my opinion" and am afraid it is taking away from the facts of what I learned.

(As an FYI, the Infectious Disease Consultant is my father. He is not verified on WS, however he is recognized in national/universal literature. Really not bragging (even though I KNOW he hung the moon!) I just want to validate my source.

With acute pyelonephritis, in children, generally blood pressure is not significantly elevated (and certainly not to the point of a hypertensive emergency which is what you would be looking at if it was causing spontaneous epistaxis). Now kids with frequent/recurrent kidney infections can develop renal scarring over time and this can certainly result in hypertension but this is unlikely to result by two weeks of age.

Children also don't usually die from acute pyelonephritis unless they develop sepsis (which often will cause the blood pressure to be low, by definition sepsis with hypotension is septic shock) or some kind of obstructive uropathy (and die from their renal failure---usually from a hyperkalemia induced arrhythmia). I think the latter is less likely given that the child was reportedly peeing frequently. I admit I find that a little questionable because well babies do that. I have a little one of my own and he has at least 12 or more wet diapers a day so I think most parents wouldn't really pick up on frequent urination because it would be hard to discern if you're already accustomed to changing the diaper every 1-2 hours.

 

[CharlestonGal]

WTH?

"

4/16/2014

0 Comments

My Dearest Duane,
On Saturday, April 12th, your Daddy and I held a memorial in your honor. This was something your father and I didn't even want to do. Apparently when someone dies, its customary as well as respectful, so we more or less had to."

http://duanejacobwalsh.weebly.com/blog/farewell-for-now

 

[passionflower]

WTH?

"

4/16/2014

0 Comments

My Dearest Duane,
On Saturday, April 12th, your Daddy and I held a memorial in your honor. This was something your father and I didn't even want to do. Apparently when someone dies, its customary as well as respectful, so we more or less had to."

http://duanejacobwalsh.weebly.com/blog/farewell-for-now

BBM this is aweful...............

 

[EllieBee]

WTH?

"

4/16/2014

0 Comments

My Dearest Duane,
On Saturday, April 12th, your Daddy and I held a memorial in your honor. This was something your father and I didn't even want to do. Apparently when someone dies, its customary as well as respectful, so we more or less had to."

http://duanejacobwalsh.weebly.com/blog/farewell-for-now

Funny. They sure looked like they were having a ball, grinning and posing for the cameras.

 

[ILikeToBendPages]

I wonder if his death was REALLY investigated. The circumstances of little Duane's death just don't add up. Two weeks old. Kidney infection. Found on the floor. Bleeding from nose. Malformed ribs. Mother says "I killed my baby". IMO

They might of not known about his deformed ribs until the autopsy. Wasn't Chance also a premie? and by how much? They count a preemie's age different than a full term baby, or at least they did when my grandson was born six weeks early.


This by March of Dimes;

Babies who are born prematurely often have two ages:

Chronological age is the age of the baby from the day of birth—the number of days, weeks or years old the baby is.
Adjusted age is the age of the baby based on his due date. Health care providers may use this age when they evaluate the baby's growth and development. So, if a baby is 6 months old, but was born two months early, his adjusted age is 4 months.

Calculating your baby's adjusted age
Here's how to calculate your baby's adjusted age:

Chronological age: 20 weeks
The number of weeks your baby was premature: 6 weeks
Subtract the number of weeks premature from the chronological age (this is your baby's adjusted age): 20 weeks minus 6 weeks equal 14 weeks.
Divide your baby's adjusted age in weeks by 4 to determine your baby's adjusted age in months: 14 divided by 4 equals 3 ½ months.


What to say when someone asks
This is up to you.

You can say, "He's 6 months old, but he was born two months early. That's why he looks like a 4-month-old."
Or you can say, "He's 6 months old" and leave it at that. Remember: When people ask about your baby, they usually are being kind, not nosy.

 

[ILikeToBendPages]

Funny. They sure looked like they were having a ball, grinning and posing for the cameras.

My Dearest Duane,
On Saturday, April 12th, your Daddy and I held a memorial in your honor. This was something your father and I didn't even want to do. Apparently when someone dies, its customary as well as respectful, so we more or less had to."

http://duanejacobwalsh.weebly.com/blog/farewell-for-now


Had to do it because it was customary? They had to do it? Not to honor that little boy, but you HAD to because it was customary.

 

[strawberry]

Funny. They sure looked like they were having a ball, grinning and posing for the cameras.

That's weird and terrible! Where do you see pics?


Sent from my iPhone using Tapatalk

 

[EllieBee]

That's weird and terrible! Where do you see pics?


Sent from my iPhone using Tapatalk

They are on KB's FB.

 

[strawberry]

My Dearest Duane,
On Saturday, April 12th, your Daddy and I held a memorial in your honor. This was something your father and I didn't even want to do. Apparently when someone dies, its customary as well as respectful, so we more or less had to."

http://duanejacobwalsh.weebly.com/blog/farewell-for-now


Had to do it because it was customary? They had to do it? Not to honor that little boy, but you HAD to because it was customary.

And she sounds so SURPRISED that it's customary. Like she never dreamed of honoring a dead "loved" one. Sociopath

 

[EllieBee]

https://www.facebook.com/photo.php?...62621660.15247.100004341700150&type=3&theater

From the service

https://www.facebook.com/photo.php?...62621660.15247.100004341700150&type=3&theater

From their "mini-getaway" after the service that it appears a friend paid for. (Gag)

 

[strawberry]

They are on KB's FB.

Good grief! It looks more like a wedding than a funeral! :sick:

 

[Curiosum]

They might of not known about his deformed ribs until the autopsy. Wasn't Chance also a premie? and by how much? They count a preemie's age different than a full term baby, or at least they did when my grandson was born six weeks early.

I thought that Chance was reported as being 3 weeks early. This would make him 37 weeks gestation (because due dates are set at 40 weeks gestation). 37 week (and above) gestation babies are considered term babies.

 

[Ontario Mom]

I've been to a funeral for a baby, once. No one was smiling. No one was taking pics (who takes pics at a funeral??). No one was doing anything except weeping and trying to hold it together, while they layed his little coffin into the ground. His mother spoke & told all of us gathered there how much he meant to her, and how thankful she was she got to spend the time with him she did. Then she lost it, and everyone else did too and the service was over.

I would suggest that is what a "normal" funeral for a baby would be like. The pics I've seen on KB's FB? Those make me feel sick. These people are just pure evil. There's no other way to say it.