cover of episode Revisiting Season 3: Shelter

Revisiting Season 3: Shelter

2024/11/21
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Nobody Should Believe Me

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People
A
Andrea Dunlop
一名专注于真实犯罪和社会问题的媒体人物和作者。
B
Bea Yorker
F
Florida pediatrician (匿名)
Topics
Andrea Dunlop: Netflix纪录片《守护玛雅》对玛雅·科瓦尔斯基案的报道存在严重偏见,歪曲事实,损害了儿童虐待案件的调查和处理,并可能为未来的父母权利案件树立危险的先例。该片忽略了大量关键信息,夸大了医疗儿童虐待虚假指控的风险,掩盖了医疗系统中存在的真实问题。本节目将深入探讨该案件,还原真相。 Bea Yorker: 强制报告人有义务报告怀疑的虐待行为,但无权诊断虐待的原因。对他人施加虚构障碍的诊断需要同时进行嫌疑人访谈和医疗记录审查。 Florida pediatrician (匿名): 医院医生只是向儿童家庭服务部(DCF)报告,最终决定是否将孩子安置由法官做出,医生不参与最终决定。 Detective Mike Weber: 负面的媒体报道会对医生造成压力,导致他们不愿举报儿童虐待,从而对儿童造成危害。 Andrea Dunlop: 本案中,被告是医院、凯西·比蒂和儿童家庭服务部(DCF),而非比阿塔·科瓦尔斯基。原告的策略是专注于玛雅是否患有CRPS,以此来证明比阿塔的清白,但这种说法是站不住脚的。纪录片中对莎莉·史密斯医生的描述也是不准确的,她并非草率地做出判断。多位人士分别对比阿塔·科瓦尔斯基的养育方式表示担忧,这表明并非个别医生过度热心。美国医疗儿童虐待的真正问题是漏报,而不是虚假指控泛滥。在刑事调查进行到一半时,虚假指控意味着医生、法官和儿童家庭服务部官员都知道比阿塔·科瓦尔斯基没有虐待她的孩子,但仍然将母女分开。比阿塔曾多次谈论玛雅的死亡,这在纪录片中没有体现。比阿塔曾要求在玛雅的处方上添加“晚期”字样,这引发了疑问。在处方上添加“晚期”字样可能与保险理赔或药物剂量有关。 Andrea Dunlop: 基尔帕特里克医生并非儿科或神经科专家,他的主要工作是使用氯胺酮治疗疼痛疾病。他为科瓦尔斯基一家做了免费的咨询,并向Netflix的制作人提供了关于此案的“路线图”。基尔帕特里克医生没有儿童虐待儿科方面的培训经验。基尔帕特里克医生诊所的治疗项目不包含在保险范围内,这可能是科瓦尔斯基一家转诊给其他医生的原因。关于基尔帕特里克医生的行为,存在两种可能性:一是比阿塔真心想帮助女儿,二是比阿塔在寻找能提供最极端治疗的医生。一些医生会反复诊断相同的疾病,这在医疗儿童虐待案件中很常见。长期遭受医疗虐待的儿童可能会对自身健康状况产生错误认知。比阿塔可能通过朋友介绍认识了基尔帕特里克医生,这可能是“医生购物”行为的一种表现。基尔帕特里克医生曾表示玛雅脱水,并建议比阿塔带她去看医生。基尔帕特里克医生承认玛雅在接受氯胺酮输液后病情有所恶化。玛雅在入院时脱水且不吃东西,这在之前的治疗中也出现过。坎图医生证实,在进行氯胺酮昏迷疗法前,应先尝试其他治疗方法。坎图医生表示,氯胺酮昏迷疗法应覆盖大部分身体,而玛雅的病情似乎并不符合这一标准。坎图医生承认氯胺酮昏迷疗法有50%或更高的死亡风险。

Deep Dive

Key Insights

Why is the Kowalski v. Johns Hopkins All Children's case significant?

The case could set a precedent for future parents' rights cases, especially given recent political shifts, and it highlights the impact of media coverage on child abuse cases.

What is the main argument of the Netflix documentary 'Take Care of Maya'?

The documentary suggests that Beata Kowalski was falsely accused of medical child abuse and that this false accusation led to her death, implying a broader issue of false accusations in the medical field.

What is the actual epidemic regarding medical child abuse in the U.S.?

The actual epidemic is underreporting of medical child abuse, where offenders are not held accountable, contrary to the documentary's suggestion of a false accusation menace.

What is the role of doctors in reporting suspicions of abuse?

Doctors are legally required to report reasonable suspicions of abuse, not evidence, and they are immune if done in good faith, even if the report turns out to be incorrect.

Why might doctors hesitate to report suspicions of abuse due to media coverage?

Media coverage can vilify doctors, reducing their incentive to report, which could lead to continued abuse as cases may not come to light.

What is the significance of multiple reports of concerns about Beata Kowalski?

Multiple reports from different sources without communication suggest a pattern, pointing away from a single overzealous doctor and towards a broader issue.

What is the process for reporting and handling suspicions of medical child abuse?

A physician reports to DCF, who then involves a medical branch for further information and notes. The court, not the doctors, makes the final decision on sheltering the child.

Why was Beata Kowalski's behavior at Johns Hopkins considered suspicious?

She was described as pushy and insistent on specific treatments, particularly high-dose ketamine, which raised concerns about her daughter's well-being.

What were some of the concerning comments made by Beata Kowalski about her daughter's health?

She made comments about Maya's desire to go to heaven due to pain and suggested seeking hospice for enough ketamine to let her die, which were said in front of her daughter.

Why did Beata Kowalski request the 'terminal' designation on her daughter's prescription?

The exact reason is unclear, but it could be related to insurance coverage or permitting higher doses of pain medication, which is unusual for a non-terminal patient.

What are the qualifications of Dr. Anthony Kirkpatrick?

He is an anesthesiologist with expertise in treating CRPS using ketamine, but he is not board-certified in pediatrics or neurology and lacks experience in child abuse prevention.

What is the significance of Dr. Kirkpatrick's use of the term 'incarcerated' for Johns Hopkins Hospital?

His use of such strong language about a highly respected medical institution is notable and could indicate a bias or hyperbolic perspective on the case.

How did Beata Kowalski find out about Dr. Anthony Kirkpatrick?

She was recommended to him by a friend whose father had been treated by Dr. Kirkpatrick for Crohn's disease, suggesting a connection through her work as an infusion nurse.

What are the risks associated with the ketamine coma procedure?

The procedure has a 50% or higher risk of death and involves invasive measures like tracheal tubes and PICC lines, making it a last-resort treatment.

Chapters
The chapter explores the controversy surrounding Maya Kowalski's treatment at Johns Hopkins, questioning whether the hospital's actions were justified or if they were part of a broader issue of false accusations in medical child abuse cases.
  • Maya Kowalski's case is featured in the Netflix documentary 'Take Care of Maya'.
  • The documentary suggests that Beata Kowalski was falsely accused of medical child abuse.
  • The chapter highlights the implications of such cases on child abuse pediatricians and the broader medical community.

Shownotes Transcript

While the Nobody Should Believe Me team is hard at work on season 5, we’re revisiting the first episode of our third season, which covered the Kowalski v Johns Hopkins All Children's trial, also known as the Take Care of Maya Case. 

Next week, we have a brand new miniseries coming to your ears, so stay tuned.


As the Maya Kowalski case heads to trial, we dig into the massive trove of documents about this case and begin to unpack what we know about what really happened during Maya Kowalski’s fateful stay at Johns Hopkins All Childrens in October 2016.  

The Netflix documentary about the case—and the prevailing media narrative---would have you believe that Maya was ripped from her parents by a corrupt system, and that this could happen to any parent of a sick child. But did Maya really have a deadly disease for which she required the massive amounts of ketamine and other drugs she was being given? Was the hospital unfairly biased against Beata Kowalski because she was difficult, or was something more sinister at play?  

We talk to national law enforcement expert on medical child abuse, Detective Mike Weber, as well as a Florida pediatrician who helps us unravel some of the myriad strange details about Maya’s medical history.  

The beginning of our multi-part deep dive into the case reveals the shocking events that led up to the family separation. 


Links/Resources: 

Join Patreon for a look at Andrea and Dr. Bex’s previous coverage of the Kowalski case: https://www.patreon.com/collection/548199)

Preorder Andrea's new book The Mother Next Door: Medicine, Deception, and Munchausen by Proxy)

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Subscribe on YouTube) where we have full episodes and lots of bonus content.

Follow Andrea on Instagram for behind-the-scenes photos: @andreadunlop)

Buy Andrea's books here).

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The American Professional Society on the Abuse of Children’s MBP Practice Guidelines can be downloaded here).

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