Dr. Sally Smith, Child Abuse Pediatrician

It's a very particular pattern of hemorrhage over the surface of the brain.

The other thing that some of the children have, but not all, probably in my experience, at least 70, 75% of them have hemorrhages in the back of the eye.

So the eyeball in the back, there's an open fluid cavity inside your eyeball.

And then at the very back is what's called the retina.

And that's where your visual receptors are.

And that's how we see and everything.

Well, back there, there's also a lot of blood vessels because anything that's active like that retina needs a lot of blood and oxygen.

So there's a lot of blood vessels.

And so those eyeballs are attached with nerves to the brain.

So when the brain's moving all over the place, it's pulling and putting traction on the eyeballs themselves and that retina hemorrhages.

And so, you know, when you have and it's not just any retinal hemorrhages.

There's a certain pattern that's associated with abusive head trauma.

If you have them in both eyes, there's like 11 layers of the retina.

If you have hemorrhages in four or five layers, the whole retina is all blood, not just a little hemorrhage here or there, then that's a pattern that it's either, you know,

fallen out of the third floor window which people should know about or a bad car crash or it's abusive head trauma and so you know we have to i mean you want to look at all the information you can get to make a correct decision an educated decision about whether or not it's child abuse but if you have certain medical findings it's honestly fairly straightforward

My recollection back at the time was that

the supposed walking was before he got to Larry's house.

Like when he got up in the morning, then they transported over to Larry's that his mom said,

that he had stood and taken a few steps when he woke up that morning, which I found hard to believe.

No, I mean, you know, I don't know what, so I've seen a lot of cases where, you know, there's both of the caretakers, whether it's the parents or, you know, boyfriend, girlfriend, whatever.