I do agree with most of your comment Blue Bottle. There is a grey area. I believe Patsy had some mental, I don't want to say problems, I don't know what to call it, when she was diagnosed and treated for her cancer.
I don't know anyone that has had that diagnosis that it has not changed their life and thinking. I do think this might have had something to do with JB murder. It may have just been in the neglect that both children may have felt or a more profound change in Patsy and her actions. I am afraid we will never know. But, I can guarantee you there was a change in her because of the diagnosis.
Regarding an internal GYN exam, we discussed this sometime back and I think one of our nurses explained there was a way to place a childs legs, that a doctor could see pretty well. Also, I am thinking Dr. B did at least urinalysis and possible swabs very often.
http://www.merckmanuals.com/profess...lammatory_disease_pid/vaginitis.html#v1063101
Children: (We know JB had issues in this area as well)
"In children, vaginitis usually involves infection with GI tract flora (nonspecific vulvovaginitis). A common contributing factor in girls aged 2 to 6 yr is poor perineal hygiene (eg, wiping from back to front after bowel movements; not washing hands after bowel movements; fingering, particularly in response to pruritus). Chemicals in bubble baths or soaps may cause inflammation. Foreign bodies (eg, tissue paper) may cause nonspecific vaginitis with a bloody discharge. Sometimes childhood vulvovaginitis is due to infection with a specific pathogen (eg, streptococci, staphylococci, Candida sp; occasionally, pinworm)."
Maybe someone else will chime in on this exam. I know it was discussed somewhere. If I find it, I will post a link.
I am certainly not discounting the sexual abuse at all. This is just something that JB may have had as well.
I really feel that JB and B both were not very well cared for. Then with Patsy's diagnosis and treatment, it was even less care. This is just my opinion from all my reading MOO!