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 Post subject: Re:
PostPosted: Thu Feb 27, 2014 1:26 pm 
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TheRiov wrote:
Occam's razor is killing this for me.
If you understood Occam's Razor, then you would know enough about bureaucratic systems and the state of DCS in Massachusetts to know that most of this entire situation is purely procedural from the point a mandatory first-reporter suspected abuse, as RangerDave said.

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 Post subject: Re: So there is this now
PostPosted: Thu Feb 27, 2014 2:30 pm 
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Khross wrote:
Mitochondrial diseases may be hereditary or emergent, and since Justine's elder sister suffers from a mitochondrial disease (the frequency rate among American children isn't all that low -- 1 in 4000), it's very likely both sisters could have inherited the same mitochondrial disease. The evidence in this case suggests that a hospital and state agency are about to get raked over the coals.

Bonus points if you can tell me which parent she would have inherited the disease from.

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 Post subject: Re: So there is this now
PostPosted: Thu Feb 27, 2014 2:42 pm 
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Screeling wrote:
Khross wrote:
Mitochondrial diseases may be hereditary or emergent, and since Justine's elder sister suffers from a mitochondrial disease (the frequency rate among American children isn't all that low -- 1 in 4000), it's very likely both sisters could have inherited the same mitochondrial disease. The evidence in this case suggests that a hospital and state agency are about to get raked over the coals.
Bonus points if you can tell me which parent she would have inherited the disease from.
Her mother, as all mitochondrial DNA is maternally inherited.

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 Post subject: Re: Re:
PostPosted: Thu Feb 27, 2014 3:27 pm 
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Khross wrote:
TheRiov wrote:
Occam's razor is killing this for me.
If you understood Occam's Razor, then you would know enough about bureaucratic systems and the state of DCS in Massachusetts to know that most of this entire situation is purely procedural from the point a mandatory first-reporter suspected abuse, as RangerDave said.


There are so many things wrong with your logic here, I'm not sure where to start.


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 Post subject: Re: Re:
PostPosted: Thu Feb 27, 2014 3:35 pm 
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TheRiov wrote:
Khross wrote:
TheRiov wrote:
Occam's razor is killing this for me.
If you understood Occam's Razor, then you would know enough about bureaucratic systems and the state of DCS in Massachusetts to know that most of this entire situation is purely procedural from the point a mandatory first-reporter suspected abuse, as RangerDave said.
There are so many things wrong with your logic here, I'm not sure where to start.
There's nothing wrong with my logic; a large bureaucratic system following the policies and procedures of that bureaucratic system is procedural, TheRiov.

A mandatory first-reporter initiated the situation by reporting suspected abuse(s) to the Department of Child Services. At that point, the procedure takes over, including even the initial removal of the child from the parents' custody, especially as the abuse was related to medical care, either through negligence or Medical Child Abuse. The flawed logic here, incidentally, is yours. You think a whole lot of people have to be complicit in this enterprise for it to be the wrong decision; that's not the case at all.

But then, you're the one making more assumptions than the rest of us.

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 Post subject: Re: So there is this now
PostPosted: Thu Feb 27, 2014 4:38 pm 
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No, a lot of people don't need to be complicit for the initial removal, but a lot sure do need to be so to keep the girl on a useless and/or detrimental psychological treatment regimen for over a year.


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PostPosted: Fri Feb 28, 2014 8:42 am 
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Complicit as in "I want to keep my job - this situation sucks for them but its not worth making my life inconvenient over".

That is most people in most aspects of life.

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PostPosted: Fri Feb 28, 2014 9:39 am 
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My ex- was the GAL for 4 counties, I dated a social worker who worked for CPS, and my wife is a child psychologist. All of them have children of their own. Courts nearly always err on the side of not taking kids out of homes, to the point where sometimes it costs children their lives because they don't act fast enough. At least in Kentucky & Ohio there are multiple checks to prevent exactly the things you're alleging.

The job is a high-burnout, high stress and emotionally taxing--people who work in these professions do it because they believe in protecting children. I've know of a number of cases where they failed to act, but never even heard of a case where not one, but multiple people acted maliciously.

What power do the doctors have to compel the judges? What power do the CPS people have to compel the doctors or nurses or other health care people? What power do the doctors have to compel CPS?

You're inventing these threads of authority that don't exist.


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 Post subject: Re: So there is this now
PostPosted: Fri Feb 28, 2014 9:57 am 
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Khross wrote:
Screeling wrote:
Khross wrote:
Mitochondrial diseases may be hereditary or emergent, and since Justine's elder sister suffers from a mitochondrial disease (the frequency rate among American children isn't all that low -- 1 in 4000), it's very likely both sisters could have inherited the same mitochondrial disease. The evidence in this case suggests that a hospital and state agency are about to get raked over the coals.
Bonus points if you can tell me which parent she would have inherited the disease from.
Her mother, as all mitochondrial DNA is maternally inherited.

/high-five

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PostPosted: Fri Feb 28, 2014 10:16 am 
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TheRiov wrote:
I've know of a number of cases where they failed to act, but never even heard of a case where not one, but multiple people acted maliciously.

You keep inserting the element of malice, but I don't believe that's what most folks here are alleging. Rather, what I think most of us are saying is that once the first reporter flags a case, the machinery of the state kicks in and much of what happens from that point forward occurs on auto-pilot. It's like the criminal justice system - once an initial arrest puts you in the system, it requires a great deal of effort to get out. It's the same with any large bureaucracy - try convincing your home insurance carrier to cover something once the initial adjuster rejects your claim.

TheRiov wrote:
The job is a high-burnout, high stress and emotionally taxing--people who work in these professions do it because they believe in protecting children.

And you don't think that biases them toward a presumption of abuse once an initial report is made?

TheRiov wrote:
What power do the doctors have to compel the judges? What power do the CPS people have to compel the doctors or nurses or other health care people? What power do the doctors have to compel CPS? You're inventing these threads of authority that don't exist.

Again, it doesn't require a thread of formal authority, just bureaucratic auto-pilot and a good-faith, but nonetheless biasing, desire to protect kids.


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 Post subject: Re: So there is this now
PostPosted: Fri Feb 28, 2014 11:06 am 
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Let me preface this by letting you all know that I spent a half day a week for 15 years in a Muscular Dystrophy clinic. Many of the syndromes I helped treat were later found to be Mitochondrial Disorders. I am by no means an expert in this. I leave that title to the doctors who spent their entire career researching and treating these disorders.

Mitochondrial Disorders are varied. There are at least 40 different ones known now. They express themselves in varied ways, with some people having severe symptoms, and their siblings having little to no symptoms. These are a complex and difficult group of disorders.

This is a short discussion:

This is a longer lecture:

Except for the name of Mitochondrial Disorder, doctors are not taught this in medical school. Only physicians who specialize in this really learn about it, and the knowledge base is growing and changing at a breakneck speed.

(Will leave my view of how this situation could have developed to another post.)

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 Post subject: Re: Re:
PostPosted: Fri Feb 28, 2014 11:24 am 
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Hopwin wrote:
Midgen wrote:
How do you know who diagnosed her with it?

And what difference does that make?

What justification does the hospital have to remove her from her parents custody? And even worse, what right does a judge have to tell the father he can't speak about it?

the original post. It says "her regular phsyician."


Her Mitochondrial Disorder diagnosis was made by a specialist at Tuft's Medical Center in Boston.

wiki wrote:
It (Tufts) is a center for biomedical research and is the principal teaching hospital for Tufts University School of Medicine where all full-time Tufts physicians hold faculty appointments;


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 Post subject: Re: So there is this now
PostPosted: Fri Feb 28, 2014 11:31 am 
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Quote:
It's the same with any large bureaucracy - try convincing your home insurance carrier to cover something once the initial adjuster rejects your claim.

I was able to do this, but it wasn't easy and USAA isn't a normal insurance company...


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 Post subject: Re: So there is this now
PostPosted: Fri Feb 28, 2014 11:31 am 
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There is a wonderful children's book called The Phantom Tollbooth.
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It's really quite simple: every time you decide something without having a good reason, you jump to Conclusions whether you like it or not. It's such an easy trip to make that I've been here hundreds of times....
You can never jump away from Conclusions. Getting back is not so easy.


This may be what happened: an inexperienced Doctor did not know about Mitochondrial Disorders. The situation was odd. S/he is required by law to report anything even remotely suspicious. CPS gets the report and a stressed and overworked caseworker goes out to investigate. The caseworker asked the Doctor what was going on, and the Doctor said everything sounds odd, and s/he has never heard about the reported illness. Or maybe the Doc looked up one of the more common Mitochondrial Disorders, and the patient's symptoms did not match that one. So the child/patient is taken away from the parents.

At this point the case-child may have been passed from person to person. Each person assumed the first caseworker got all of the pertinent information, so the overworked caseworker just continues what was started.

By now, CPS, the State, and the Judge can not back down even if they now understand what really happened.

I saw this scenario repeatedly with the disorder, Osteogenisis Imperfecta. (Disorder of bone formation, which leads to frequent fractures/broken bones.)

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PostPosted: Fri Feb 28, 2014 11:37 am 
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I can see how that scenario MIGHT have occurred, but by the time the case went to court (multiple times) SOMEONE would have re-evaluated the steps along the line and verified the information.


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 Post subject: Re: Re:
PostPosted: Fri Feb 28, 2014 11:38 am 
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Midgen wrote:

Her Mitochondrial Disorder diagnosis was made by a specialist at Tuft's Medical Center in Boston.

wiki wrote:
It (Tufts) is a center for biomedical research and is the principal teaching hospital for Tufts University School of Medicine where all full-time Tufts physicians hold faculty appointments;


Tufts is on my short list of places to send a patient to diagnose what is going on. I would certainly go with the diagnosis provided from a Doctor at Tufts, than an inexperienced Physician.

None of the Doctors and Hospital are allowed to talk about this patient because of patient privacy issues/HIPAA.

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PostPosted: Fri Feb 28, 2014 11:42 am 
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TheRiov wrote:
I can see how that scenario MIGHT have occurred, but by the time the case went to court (multiple times) SOMEONE would have re-evaluated the steps along the line and verified the information.


Inertia is a powerful thing. I have personally seen the opposite in my patients.

Not to knock CPS, honestly. It is a terribly stressful and difficult job, and one mistake can cost a life.

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 Post subject: Re: Re:
PostPosted: Fri Feb 28, 2014 12:08 pm 
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Midgen wrote:
Hopwin wrote:
the original post. It says "her regular phsyician."


Her Mitochondrial Disorder diagnosis was made by a specialist at Tuft's Medical Center in Boston.

wiki wrote:
It (Tufts) is a center for biomedical research and is the principal teaching hospital for Tufts University School of Medicine where all full-time Tufts physicians hold faculty appointments;

Cool thanks for clearing it up. I have no reason to doubt the Tuft's center's expertise on the subject I was simply basing my opinion on the story provided by the op :)

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PostPosted: Fri Feb 28, 2014 12:21 pm 
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I reiterate: Go in with guns and hang people.

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PostPosted: Fri Feb 28, 2014 12:24 pm 
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How do you hang people with guns? I think you meant rope.

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PostPosted: Fri Feb 28, 2014 12:44 pm 
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TheRiov wrote:
I can see how that scenario MIGHT have occurred, but by the time the case went to court (multiple times) SOMEONE would have re-evaluated the steps along the line and verified the information.


Probably, I agree. But we're not reading about this story because it happens all the time. If it's never caught, and this happens all the time, there would be mass outrage and it would have been fixed. In order for rare events to occur, you have to do away with assumptions over "what should have happened" "what typically happens" and so on. If it fit that mold, there would be no story.


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 Post subject: Re: Re:
PostPosted: Fri Feb 28, 2014 4:27 pm 
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Khross wrote:
But then, you're the one making more assumptions than the rest of us.


The only real assumption I'm making here is that there is not enough data to form an opinion.

You're not going to get 'enough data' because of confidentiality issues, but I'm unwilling to condemn the situation (or initiate armed action and commit multiple murders) with insufficient data. My person experience with individuals who work in these fields, my own personal experiences with the courts, my experience as a parent all lead me to give them the benefit of the doubt in this case.


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PostPosted: Fri Feb 28, 2014 4:42 pm 
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Elmarnieh wrote:
I reiterate: Go in with guns and hang people.


I find it interesting that this is your answer to basically everything.


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 Post subject: Re: Re:
PostPosted: Fri Feb 28, 2014 4:47 pm 
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Aizle wrote:
Elmarnieh wrote:
I reiterate: Go in with guns and hang people.


I find it interesting that this is your answer to basically everything.


I note you didn't say you disagree in this instance.

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 Post subject: Re: So there is this now
PostPosted: Fri Feb 28, 2014 8:57 pm 
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Unfortunately it's only effective until more numerous people with bigger guns come and take her back, not to mention all the people below decision making level who loose their lives in the process.

At least if they take you alive they will give you a courtesy of a trial before they execute you

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