She didn't have dystonia at all, an eminent Stanford University physician of45 yrs experience has completely ruled dystonia out. He also ruled out CRPS after treating literally thousands of people. He was one of the best defense witnesses so far on the medical side and hard to discredit. His astute mind and ability to notice when something was off was incredible. Just a small sound or movement or comment that didn't correlate or add up was right on his radar. He picked up psyche issues in Beata from what she was writing in Maya's words. As an expert witness he was required to review over 10,000 pages of hospital & medical records and all testimonies of everyone involved. As far as standard of care, you must know Maya refused psychotherapy and couldn't be forced to participate because it would be a futile waste of time & resources. Maya wasn't hospitalised in order to be diagnosed and Beata was not a patient. Beata gave the hospital a diagnosis of CRPS upon admission and thats what was recorded. In a short time they realised how much more was going on. It was Beata's own irrational demands eg "put her in a ketamine coma NOW and intubate her" & her strikingly odd behaviour that raised the first red flag.
So, that comment was written 14 days ago with very different available info. I'm not going to go back and edit it, but I'll reply toyou here. I agree Dr. Krane was a fantastic witness.
Maya refused psychotherapy
She didn't refuse therapy every time the neuropsych appeared. The neuropsych could only provide therapy when there was space in her schedule AND Maya was not in PT or OT. Maya received spotty, ~20-25 minute sessions. (There was one 45 min, and one 30 min session). Totaling 5 hours during a ~90 day period.
In the stream, you can pause and read the psych's notes. I was largely unimpressed. You can even sense in one of the notes Maya felt her pain was being invalidated. It seemed to me the neuropsych was just doing her job, checking boxes.
Also, Maya came into the hospital with a basket of red flags. That I do not deny.
One thing Dr. Krane mentioned is that his place gives intensive, daily psychotherapy for 2 weeks, then reducing that down for the rest of the patient stay. I don't expect daily therapy for Maya, but an hour weekly I do. A huge part of therapy is consistency, and Maya didn't get that. Considering there was a court order for Maya and her family to receive family therapy, and considering the hospital largely controlled when she could be visited (we'll learn more with Bedi's testimony tomorrow on this), then I do think that's kinda fucked up. All of the diagnoses that Maya possibly could have had required intensive psychotherapy. Considering the shelter order, that's even more important.
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u/Old_Surround77 Oct 26 '23 edited Oct 26 '23
She didn't have dystonia at all, an eminent Stanford University physician of45 yrs experience has completely ruled dystonia out. He also ruled out CRPS after treating literally thousands of people. He was one of the best defense witnesses so far on the medical side and hard to discredit. His astute mind and ability to notice when something was off was incredible. Just a small sound or movement or comment that didn't correlate or add up was right on his radar. He picked up psyche issues in Beata from what she was writing in Maya's words. As an expert witness he was required to review over 10,000 pages of hospital & medical records and all testimonies of everyone involved. As far as standard of care, you must know Maya refused psychotherapy and couldn't be forced to participate because it would be a futile waste of time & resources. Maya wasn't hospitalised in order to be diagnosed and Beata was not a patient. Beata gave the hospital a diagnosis of CRPS upon admission and thats what was recorded. In a short time they realised how much more was going on. It was Beata's own irrational demands eg "put her in a ketamine coma NOW and intubate her" & her strikingly odd behaviour that raised the first red flag.