6/27/1990 X Ray Report Dr. Stone ***no ablormailities***
8/23/1990 X-Ray Report Dr. Pruit
Images taken left knee - Reason for exam - H.O. ***No fractures or dislocations, moderate amt of heterotrophic bone formation along medial aspect of the distal femur. Small amount along lateral aspect of distal femural shaft.***
2/5/1991 X-Ray Report Dr. Ricciardello
2 views each, right knee, left knee. ****No fracture or subluxation. There is severe osteopenia and degenerative change.
3/8/1991 Progress Notes Dr. Carnahan
Bone Scan reveals subperiosteal area of right thigh - most likely reflects H.O. Other areas not explained by disease ? Infection. Neoplastic is rare probability.
3/12/1991 Progress Notes Dr. Carnahan
Question if arthritis or bone involvement was related to Dilantin (?)
5/6/1991 MS Journal Sits real good (sic) in her chair, moves her head back and forth while laying in bed. Right Knee swollen, ***Dr. thinks its fluid, taking X-rays
(She sits real good in a chair.........WITH A BROKEN BACK. I think not.)
6/21/1991 Progress Note Dr. Alcazaran
X-Ray of right arm - bone negative. Shows less agitation, less posturing. Suspect related to stimulator.
6/24/1991 X-Ray Report Dr. Durance
2 views right humerous, ***no evidence of fracture***
7/8/1991 Progress Note Dr. Alcazaran
Husband asking about casting ankle. On exam, fixed contracture - tendon shortening.
A bit more on Walker's testimony. Q=atty A= Walker
Q Okay. Were you looking for heterotrophic ossification when you read the bone scan and the radiographs? Do you know?
A I think that's in our mind when we see a rehabilitation patient because we don't know from
the history how old the injury was. And, of course, heterotrophic bone is something that occurs
***particularly in people who are immobilized for long periods of time.*** So that would be something that we
would mention were we to see a typical pattern for that, yes.
Q Okay. The abnormalities in the multiple bilateral ribs, could that have occurred during an
attempt at resuscitation by the paramedics or hospital staff?
A A vigorous resuscitation could do that, yes.
Q Do you know Dr. Donald Durrance?
A Yes, I do.
Q Do you know what kind of a physician he is?
A He's a diagnostic radiologist with a specialty in neuroradiology.
Q His report indicates there that his impression is "no evidence of fracture"?
A That would be what it says, yes.
Q What do you understand that to mean?
A It means he didn't see an alteration of the radiographic anatomy that would suggest that
there was a broken bone there.
Q So he's saying he didn't see any evidence of a fracture in her right upper arm?
A He's saying not only did he not see any evidence of a fracture but that the soft tissues
are, quote, intact, yes.
Q Are you familiar with Dr. Ricciardello?
A I am.
Q What kind of a physician is he?
A He's also a diagnostic radiologist with a specialty in neuroradiology.
Q And his report indicates, as far as the left knee conclusion, "no acute injury," and right
knee conclusion, "no acute injury."
A Correct.
Q In that affidavit, Dr. Alcazaren gives
his interpretation of the radiologist's report dated
March 5, 1991 of the bone scan as an indication of
"heterotrophic ossification, not trauma." Do you
see where it says that?
11 A Yes, I do.
Of those areas that were imaged, the only area that showed what was a
clear fracture was L1.
Q The radiographs did not show any fractures of the right femur. Correct?
A It would be safe to conclude that those areas which were actually imaged did not disclose
any additional abnormalities.
Q Okay. And because there is no comment in your report of any abnormalities in the head, neck? or shoulder area, that is an indication that either those images were taken and you observed no abnormalities or that those images were not ever taken. Is that an accurate statement?
A Yes.
Q But in either one of those events, you did not observe any abnormalities to the head, neck or shoulder area?
A To the extent that they are not described in the report, I would say yes.
Q So we don't know whether her ribs were broken?
A We don't. And I don't believe that they were imaged, based on that report.
http://www.theempirejournal.com/02230551_medical_observations_sh.htm