The defense has an issue with Oral saying the caregivers were neglectful because Kamryn had been sick and they knew what was happening to the child and "chose" not to take any action.
Dr. Resmiye Oral will take the stand again.
Johnston: There is no basis for saying Kamryn's injury occurred within 6 hours of 911 call?
Oral: To use caution. She thought it was more immediately.
Johnston: If the injury happened immediately, you're saying it's the last person that was in custody of her? Isn't that dangerous?
Oral: According to the literature and information, her symptoms indicate injury occurred immediately. She's not testifying against anyone. She's going by the medical information and her injuries.
Oral: Six hours is arbitrary. She became symptomatic immediately.
Johnston: Why did you say the bruises were within 24 hours old and in Schlitter trial you said within 48 hours or up to 72 hours?
Oral: In decreasing order of possibility. They could be in a range of 24 to 72 hours.
Johnston: You prepared a report April 10, 2010 on Kamryn?
Johnston: You tesified May 12, 2010 in a juvenile court proceeding?
Johnston: You had concerns about timing of injuries and discussed it with the other doctors on the case March 26?
Oral: She had multi-disciplinary team meeting with the doctors to discuss the injuries March 29.
Dr. Gary Baumbach, pathologist with UI Hospital and Clinics, takes the stand.
Baumbach looked at tissue samples that were taken from Kamryn during her brain surgery.
Baubach: There were two samples. One was sub dural hematoma and other was internal temporal lobe.
Baumbach: In the hematoma sample, he looks for red blood cells and other blood not from surgery. He also looked for break down of red blood cells. Hemoglobin molecules contains iron and when it breaks down the iron becomes oxidized.
There were fragments of tissue which showed some break down.
Baumbach: Those were confined to arachnoid tissue.
Baumbach is identifying slides of samples from the hematoma.
Baumbach: Because there are more red blood cells present, which haven't broken down, this is an acute event, a recent one. If it was longer than 24 hours, there would be fibroblast (sp?) cells in the hematoma but there were not.
Judge is excusing the jury. She has to take up something with the attorneys.
Well, I thought they were but maybe Maybanks just needed a minute to prepare some photos he's going to show. I'm not sure.
Well, they all treated Kamryn and seem to have different opinions based on their expertise. I think they've all said between hours to days for the injuries. Some saying within hours and others saying within 24 hours for the recent injury. The bruises are difficult to date, as most said. So I guess the jury will have to figure that out.
The jury can give whatever weight to those opinions in coming to a verdict.
I think the defense will have a couple of medical experts to counter opinions of the recent injury being less than 24 hours old.
Baumbach: The function of the macrophages is to ingest tissue breakdown and remove them or reincorporate into healthy tissue. Sometimes they are called the "garbage men."
Baumbach: The macrophages show up within 3 to 5 days.
Maybanks: Can they show up within 24 hours?