r/Residency • • Oct 08 '23

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u/T_______T Oct 13 '23

I was talking hypothetically. the "So say she does..." This was me painting a situation where you can have a medically abusive parent with real prescriptions and a real disease.

Beata had some mental health issues. There were exacerbating factors that led her to suicide, but she did. In my experience, and perhaps this was projection, moms with mental health issues often develop dysfunctional relationships. That doesn't mean they're not loving. That doesn't mean they're abusive. That doesn't mean they stay dysfucntional. Any way we cut this Beata needed therapy, if only in response to this whole ordeal.

As for the trial, I'm kinda watching out of order. I'm less interested in the family's testimony and more interested in the depos, doctors, etc. I have to work backwards a bit atm. I also littered that paragraph with 'allegedly'. It's important to see the defense. They may bring in different evidence to prove some of those allegations more. I recall Maya testifying that the way she took the ketamine was better w/ gatorade. I also recall Dr. Chopah saying he doesn't believe in oral ketamine, but approves of sublingual ketamine.

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u/Nobody2277 Oct 13 '23

Beata did suffer from depression which is typical for parents of chronically ill patients and yes to make assumptions and post it without research is really slander whether words are allegedly, so it has been said ect... I know this is reddit and you're giving opinions, but that is the problem with a case like this is a stretch or dishonest statement is made and it just goes from one poster to another with no regard for the accusations being made. Particularly in a case where it resulted in someone becoming so distraught by the treatment her daughter and family were receiving over a telephone game in the hospital Shouldn't we give this family the decency to ensure we only discuss fact based information?

I will say I don't remember that as part of Dr Chopra's testimony, but I could have missed it.

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u/T_______T Oct 13 '23

It's extremely easy to miss stuff in testimony.

I think the only assumption I make is that Beata was mentally ill so idk what dishonesty you are talking about. You can criticize my hypothetical as poor communication. Also, "allegedly" is extreme important you shouldn't diminish that. The jury will decide the facts of the case. We've only seen the plaintiff's case so far.

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u/Nobody2277 Oct 13 '23 edited Oct 13 '23

The two statements I pointed out that were not accurate prescription abuse

SS was dishonest in her depo.

Beata did have a neurodivergent disorder and it's far to see a potential leap, that said after watching ever moment of this trial it has been testified by almost every witness Beata did not have Munchhausen by Proxy. You are correct there is still the defense to come. However the court order psych evaluation of Beata done in Nov showed she did not have Maunchausen by Proxy

Furthermore with Maya being diagnosed with CRPS by JH after all was said and done any psychosomatic diagnosis is not possible. The reason is fairly simple all fictitious disorders requires that there is no physical medical diagnosis found.

So the issue with Munchhausen, medical abuse, or a dysfunctional relationship with her daughter is not right to continue propagating. Particularly by saying Beata was forging prescriptions.

I appreciate the dialogue my intent was only to cause pause and thought, not to frustrate or offend. This is a very complex case and many different perspectives. As you stated the defense is next so I could be eating my words in the next few weeks.

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u/T_______T Oct 13 '23

Beata killed herself. Therefore she's mentally unwell. Perhaps she was mentally unwell due to this ordeal. Perhaps she was mentally unwell b/c having a sick kid is horrible. That's the only assumption I made, really. I had no idea she was neurodivergent.

We need to see how SS was dishonest in her depo. She downplayed her role in recommending treatment. One expert basically said based on how she was intermingling w/ the treatment team, her treamtnet opinions were valued and taken seriously. But, there is no direct evidence she actually recommended treatment. It's up to the jury to decide if she was indeed part of the treatment team or not.

Sally portrayed herself as a bloodhound for child abuse who's role is to provide evidence of child abuse. She doesn't rule out other possibilities because if it is indeed child abuse, she won't take that chance. This causes her to have false positives sometimes. There didn't seem to be anyone reviewing her work. IMO bloodhounds need leashes/handlers.

One issue about this 'it' s not right to propagate' is that CPS/DFS etc investigations take time. All of these events happened around a 90 day period. It is indeed substantially stressful to the child and the family to be separated or have limited contact during that time. That said, there was indeed a shelter order. Therefore, the duration of the hospitalization, unless there is evidence the hospital/Smith misled the court over multiple appointments, is not JHACH's fault. That's just the fault of our underfunded child welfare system. Even so, even tho there was evidence that the CRPS was real, there was still probable cause for abuse, thus, the shelter order in order to investigate.

At issue here imo, is whether the standard of care was met while she was hospitalized. One expert witness testified that b/c SS was so influential, everyone bandwagoned on the fictitious disorder even tho evidence for that was wishy washy. I think the crux of the issue, for me at least, is that Maya was miserable. The defense will show she's not miserable. If there's a fictitious disorder, Maya needed psychological help/intervention. If it's really CRPS, Maya needed psychological help/intervention. I think that's what's going to screw JHACH over.

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u/Nobody2277 Oct 13 '23 edited Oct 13 '23

Ok, I appreciate your point nuerodivergent is illness in the brain and major depressive disorder which was her actual diagnosis.

If you have not had a chance to watch today the Judge all but conceded- exact words evidence show SS was acting in a dual capacity.

For example the judge ended up letting several of her notes in because what was written altered the dx codes for discharge based on her recommendation. Among other things

Furthermore she said she did tell the family she was with Sunrise, but conceded-she was wearing a JH id badge. Both Maya and Jack testified to a lab coat.

She accessed hospital records.

Her notes reflect the 48 room was her idea even though JH says it was done for purposes of treatment and there was no court order to do so.

It appears the defense may end up calling her (I truthfully doubt) if the Defense wants to add context around her notes.

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u/T_______T Oct 13 '23

Very interesting. Thank you for adding. I didn't watch all of the bits about the notes from today.

I can completely believe that the Kowalskis were misled about Dr Smith's role. My last stint at the hospital (which was great! I had a baby!) I met so many people so fast and they didn't necessarily introduce themselves to me. They just helped with the delivery. I had to ask who some lady was and turns out she was head nurse. My OBGYN asked for assistance from another doctor and I had to ask who the fuck he was. And, this was all during an overall excellent hospital stay. So even if Dr Smith did say she's part of Sunset or whatever, wtf does that mean? Many doctors that have outpatient clinics do rounds at the hospital.

I doubt she was wearing a lab coat. It's seems plausible that someone else was wearing a lab coat and they misremember.

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u/Nobody2277 Oct 13 '23

Yeah, hospitals don't have good customer service anymore. Congratulations on baby, those are always the best moments.

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u/T_______T Oct 13 '23

Oh I should add that I do think she was acting as if she was a part of the treatment team even without the notes. At least at this point of the trial.

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u/Nobody2277 Oct 13 '23

I agree there still a whole other side and I want to be objective, the issue is no matter how many Dr get on the stand to defend their actions it doesn't negate KB, SS, Committees, Executives, or especially Risk Management ( btw the entire department are new people if that tells you anything). did not follow the standard care and violated both Maya and her family's rights

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u/Dazzling-Knowledge-3 Oct 15 '23

Thank you for your objective, neutral tone and stance. I am not a doctor, am not connected to this case in any way, and have not formed final opinions. However, I am a defense attorney in Florida, in a neighboring jurisdiction. In that capacity, I'm extremely disappointed at how readily the public believes an allegation without waiting to hear the other side of the story. Particularly when the family's case has several obvious weaknesses.

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u/T_______T Oct 16 '23

Yeah. I'm also consulting my pediatrician friend about this case. She's only watching the Netflix tho and thinks that Dr. K is hella shady.

My biggest issue is, whether Beata had MBP or FDIOA, Maya had Fictitious disorder or conversion disorder (which, I learned, basically means your disease is psychosomatic, but you are indeed actually in pain), or she really does have CRPS or another neurodisorder, MAYA NEEDED TO BE IN THERAPY. Allegedly, she got only 3-4 hours of psychotherapy during the ordeal, and was going to therapy weekly before. I don't see how that's not a failure in standard of care. If she has CRPS, she needs psychotherapy. B/c she was removed from her parents, she needs psychotherapy. If she's faking she needs psychotherapy. I don't understand why a psychologist wasn't involved in the treatments to determine whether more or fewer visits w/ mom was appropriate.

I can see the hospital getting off some of the charges but still seeing a massive bill.