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Another Doctor, Another Theory in Savannah Hall's Death

By 250 News

Thursday, October 25, 2007 02:13 PM

 

As the Coroner’s inquest into the death of Savannah Hall continues, there has been yet another medical opinion on how the three year old died

On the stand this morning, Dr. Robert Reece,  of Tufts University School of Medicine in Boston Massachusetts.   Dr. Reece is a professor of Paediatrics, and has expertise in child abuse.

Dr. Reece agrees with Dr. Glenn Taylor and Dr. Marie Hay, that Savannah died from brain damage, however, he has yet a different version of how that brain damage came about.

 Savannah, says Dr. Reece, suffered brain damage as a result of suffocation.  How did she suffocate?

He isn’t certain. 

Dr. Reece says it could have been intentional,  it could be that she inhaled some material into her lungs, or, something could have blocked her airway.  Dr. Reece is certain this death could have been prevented. “A quicker response to signs of distress would have been appropriate” says Dr. Reece.  In Savannah’s case, the foster mother said the tot was making little gasps, the kind of sounds a child might make after a crying episode.  It wasn’t until those little gasps turned into gurgling sounds that the foster mother   had her husband call for help.

Dr. Reece disagreed with Dr. Hay’s theory that Savannah suffered a seizure brought on by low sodium levels.  He thinks the low sodium was a result of the brain swelling, not the cause of the swelling.

He also disagrees with the pathologist, Dr. Glenn Taylor who reported myocarditis was a factor, which may have caused an arythmia, reducing the flow of oxygen to the brain, resulting in brain swelling.

He offered some recommendations to prevent this kind of death from recurring:

  • lower numbers of children in care in any particular home, especially if the children have special needs ( in this case there were  9 children in the home, 7 of which were  in foster care)
  • -special needs children need to be in homes where the foster parents have special training
  • -needs to be resources provided to assist the foster system
  • -all foster parents should have certified CPR training
  • -Foster parents should be able to recognize some illnesses so the signals of these events can be acted upon as soon as possible
  • -needs to be constant “surveillance” and by that, he  said,  he is referring to  regular home visits by professionals, (preferably a nurse) who  can  recognize potential signs of abuse, or illness.

The inquest continues, with  Ministry of Children and Families  Social workers  testifying as to their involvement with Savannah and the foster home.

Savannah Hall  was in a coma  when she was rushed  to Prince George Regional Hospital in  January of 2001.  She was transferred to Childrens Hospital where she died on January 26th, 2001

   
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Comments

What purpose does a "theory" serve?
A little girl is still dead, and the problems surrounding the actual reasons it happened are still there.
This scenario keeps repeating itself far to often to be a case of bad luck or wrong place at the wrong time.
Fingers need to be pointed and blame needs to be placed where it really belongs,otherwise what purpose is actually served?
Something is missing here.
Those theories don't mean anymore than yours nor mine Andy. No amount of recommendations are going to bring back this child or any of the others. I thought a good number of the listed recommendations were already in practice with the Ministry?? The fact is, children should not be dying. Someone needs to be held accountable.
I rarely get online to respond to the speculative comments posted by those people who have little to no insight on what it means to work in the field of social services or public protection.
Generally, I find it's the same uneducated musings - my apologies - rantings, of those people who like to hide behind the guise of thinking they know best, when in fact, they know little of a situation outside of what they have read (hearsay, speculative, theoretical...) or heard on on news, on the street (again, hearsay, speculative...).
I recognize that we live in a society where free speech is a privilage, but at who's expense? How is finger pointing and blaming any less provocative than providing a "theory". The fact of the matter is that inquests are a tool to ensure that people/services are accountable for their actions, or lack thereof, and recommendations are made to assist in determining future directions of preventing similar actions. However, the recommendations are only as good as the ability to carry them out based on available resources (i.e., funding, appropriate number of workers, appropriate number of foster homes...).
In social services, nothing is ever concrete, so to point a finger and say someone should be held accountable, take a step back and consider all the facts -don't just focus on the obvious (or easy) direction of the finger pointing.
I believe it was Don Shula who stated "the superiour man blames himself, the inferior man blames others".
Well said conscience. This topic is way more complicated than we all would like to think.
Well said Conscience, but don't let rantings and musings of the regular posters bother you, for they are a breed of their own. This blog site is their home, like the net, it provides them a disquise and a testing ground to voice their idiotic theories. While at the same time professing an intelligence level which is obviously not there. Personally i think the Ministry has an impossible job trying to mitigate these issues with children and you should all be very proud of what you accomplish. And a million thanks to all the foster parents who do what they can to give these children a chance and some hope for the future. Remember who should be held accountable, it is the birth mother of that child. I'll end it on that note and let you all contemplate on this question. Should we allow people to have children who obviously can't take care of themselves?
This inquest is not so much about the complications of social work. It is about the cracks that children in care fall through, and how to prevent it from happening in the future. This case was not a case of excellent social work or excellent foster care. That's why there is an inquest.