Posted by Fred Nerks to DJ MacWoW; Diogenesis
On News/Activism 04/01/2005 9:29:40 PM PST · 486 of 539
15 Q What is a total -body bone scan used for http://www.zimp.org/stuff/03%20-%20WalkerDepositionDepo.htm.
(Snip.)
Q Is this compression fracture, then, in
8 common parlance, a broken back?
9 A Yes.
10 Q Is there any way to tell how old that
11 fracture would be?
12 A Well, as I've alluded to, the bone scan
13 gives some suggestion of that.
14 Q More recent rather than less recent?
15 A Correct. Typically in trauma the rule of
16 thumb is that a traumatic fracture is not active on
17 the bone scan after 12 to 18 months.
9 Q The report goes on to say, "The
10 presumption is that the other multiple areas of
11 abnormal activity also relate to previous trauma."
12 A That's what it says.
13 Q And, again, that's based on the fact that
14 Dr. Carnahan is a rehab physician, that you were
15 asked to evaluate for trauma?
16 A And the pattern of activity is fairly
17 typical of multiple traumatic injuries of relatively
18 recent origin.
19 Q I realize you can't assign a cause to
20 these injuries that you picked up in this report.
21 But typically in your experience, what would be the
22 causes of this pattern of abnormality?
23 A In somebody her age, an auto accident is
24 by far the most typical cause.
25 Q Assume that she was not in an auto
1 accident but that she had suffered an anoxic or
2 hypoxic encephalopathy type of injury from a cardiac
3 arrest and had been bedridden for a year at this
4 point. What might account for these abnormalities?
5 A In my knowledge, that type of injury
6 would not account for this pattern of abnormalities.
5 Q Okay. Is this a pattern of heterotrophic
6 ossification as reported in the literature that you
7 looked at?
8 A Not typically.
9 Q What makes it atypical?
10 A Well, if I were to pick one thing, I
11 would say the activity in the ribs is not typical.
12 And typically heterotrophic ossification occurs
13 around the joints because they're not being moved.
14 And typically you will see on the radiographs
15 calcium deposits actually sitting there. And they
16 don't look like periosteal reaction typically
17 either; they have a different appearance.
4 Q Can you say, then, within a reasonable
5 degree of medical certainty whether this bone scan
6 is consistent with heterotrophic ossification?
7 A In my knowledge, it's not consistent with
8 heterotrophic ossification as I typically see it.
21 Q Okay. And later on in your direct
22 examination you were saying that traumatic fractures
23 typically are not active on a bone scan after 12 to
24 18 months. Is that correct?
25 A That's correct.
19 Q Okay. Is there any way for you to say
20 from looking at this report when any of these
21 occurrences took place that caused the abnormality
22 to appear on the bone scan?
23 A I can only say that if they were
24 traumatic that they probably occurred within 18
25 months.
TERRI SUFFERED A SPINAL INJURY. WE WANT TO KNOW HOW IT HAPPENED!