Not quite. Dr. Walker's report said "The patient has a history of trauma" which is what he believed based on what he was given, according to his testimony.
Now, in that top block there, it says, "closed head injury." Do you see that?According to the autopsy report, Dr. Carnahan had asked for the bone scan to "evaluate for trauma" because:
A Yes, I do.
Q Where would that information have come from?
A Typically the clerk, the intake clerk, puts that information there.
The medical records from that facility [earlier identified as Mediplex] clearly indicate that in February 1991 she was experiencing redness and swelling in her knees. During her Mediplex admission (February 5, 1991) in response to this new knee swelling and redness, radiographs were taken that showed severe osteopenia and degenerative changes but no fractures. Her physicians ordered a bone scan to rule out heterotrophic ossification (H.O.) infection, or trauma.Which tells us that the rehab docs were concerned about very recent trauma. When a patient has osteopenia/osteoporosis, it can be very difficult to see a fracture, and a bone scan can help.
Earlier, I called you for misusing one word, "x-rays," which implied far more thorough ER exam than Terri actually got.
From Dr. CBB
2/25/1990 X-Ray Report Dr. HameroffI will grant you that one study can consist of several images. The typical C-spine series is 3 or 5 films. It has not been the usual practice for many years (at a guess, the mid eighties) to take only a lateral C-spine.
Images [emphasis added] taken of cervical spine, no acute bony pathology - straightening of normal cervical lordosis".
But my criticism was that you were hugely exaggerating what conclusions can reasonably drawn from the alleged misuse of one word.
A lot depends on the word and what it means. If your doctor tells you that you have cancer, when in fact you don't, omitting the word "don't" is a big deal. In this case, by saying the patient was "alert and oriented" Carla Iyer is claiming something that clearly isn't the case. If she correct a temporary slip of the tongue, fine, link to it. But if not, she made the same type of gross misstatement as if she had declared vital signs "normal" on a patient for whom that was far from the truth. It means she either doesn't understand basic nursing, or is fabricating.
But your words were "history of head trauma." You, a doctor, gave out false medical information! You added one word that did not belong, and it gave a totally false picture of the patient! Why, sir, a doctor has far greater responsibility than a nurse in a nursing home. You must be more meticulous than any nurse in your research and reports. When you make false reports such as this "head trauma" blunder, lives are endangered by your carelessness! You are either a complete incompetent or fabricating.
/Sarcasm. Perhaps.
May I presume you, too, were just being sarcastic in saying those silly things about Carla Iyer?