With the testimony of the pediatric surgeon - intensivist at the University Hospital of Rio, Mr. Efstratias Sahinidou, the trial of Roula Pispirigou at the Mixed Jury Court of Athens continues today in high tones for the charges of attempted homicide and homicide against her daughter, Georgina.
The doctor described in detail the treatment given to the child after the seizure she suffered in Karamandanio and the tests performed on her at the hospital in Rio, as well as the episodes that the little girl presented in the clinic of the same hospital and not while she was hospitalized in the ICU.
In fact, the witness, answering a relevant question from the president of the court, referred to the attitude of the accused mother while the child was hospitalized in Rio, as well as that of the father of Manos Daskalakis. "The father was more emotional, he was caressing the child, he was crying. His mother was more distant. With the experience we have we see the attitudes of the parents. Here the mother was more distant and had a colder attitude compared to his father. Her questions were few..." said Mrs. Sahinidou.
Subsequently, the witness referred in detail to the episodes that the child had during his second hospitalization at the University Hospital of Rio. The doctor characteristically said: "On 17.1.2022 the child had a brain MRI at the Children's hospital, the damage to the brain was seen (s.s. after the arrest). He was discharged and two days later his mother told us that the child had vomited at home. It was introduced on the 21st of the month. It was Tzortrzina's first admission to the Children's ICU. The child had desaturation and bradycardia. He remained stable in the ICU for 12 hours and was discharged to the pediatric clinic. On the 22nd of the month, the child was next admitted to the ICU with the same episode reported. I went to the room and saw the child. It was really down, there was a tachycardia and I brought it up (to the ICU). There he was weaned from oxygen, connected to monitoring (…) there were no problems. The child remained 24 hours in the ICU and went to the clinic. On the 26th of the month, Georgina with the same symptoms was again admitted to the ICU and the next day, with the consent of her parents, it was decided to go to Athens to be placed in an encephalograph and see where these are coming from.
Chairman: What is the therapeutic hypothermia protocol?
Witness: Protects the brain from further damage. We take care to protect the brain so that cerebral edema does not occur.
President: What was the image of the parents? And why did you make that description in your investigative report about the parents? You said one was more emotional the mother more apathetic....
Witness: That was the result of their attitude all along. The father who was more emotional caressed the child, cried, while the mother was more distant. With the experience we have seen the behaviors of the parents, here the mother was more distant, she kept a colder attitude compared to the father.
Chairman: Were you interested in the child? If he will eat? What will happen in the next stage?
Witness: The father asked more things, the mother listened attentively. Her questions were very few compared to father.
President: Did you notice any resentment towards the doctors and Mr. Iliadis?
Witness: The manipulations we did were a collective decision, each time the parents were informed. It didn't occur to me that parents would be negative about something we proposed.
Chairman: What is ketamine? How is it administered?
Witness: We use it in the Unit (Pediatrics) in children for sedation and for surgery. Always combined and always in our presence because it cannot be administered if there is no expert in the way it is administered. It is given for a short period of time and is completely metabolized by the body. Its dosage is 1 to 2 milligrams.
President: What are its side effects?
Witness: Convulsions, mydriasis, salivation, increased pressure, tachycardia, intracranial pressure, etc.
President: Is there any medical explanation for the second period of the child's hospitalization? Because he was having some episodes in the Pediatric clinic and he was going to the ICU and there he was showing nothing. This happened three times. Is there a medical explanation? Any one in a million condition that causes this? Even a germ…
Witness: If there is a germ it will show. Throughout the child's hospitalization in the Children's unit, he did not cause us any problems. I experienced its second introduction, it was in my own hands. I didn't desaturate, I didn't have convulsions, she was weaned from oxygen, it was recorded by monitoring... Now what happened in the ICU I can't know, I wasn't present.
Kougias: Is it a common phenomenon that children lose their lives after being stopped?
Witness: Yes, I have seen children running away from a protest.
Kougias: How much does the heart weigh in a normal 8-year-old child.
Witness: We have never been concerned about weight. We use the diameter of the heart.
Kougias: Do you know if the weight of the heart plays a role in the proper functioning of the heart?
Witness: I don't know that. But if a heart is working normally it seems that it has no problems.
Kougias: Expert witnesses told us that the literature says that heart weight plays a role in heart function.
Witness: I don't know.
The defense attorney asked the witness a series of questions about the child's previous hospitalization in Karamandanio where he had suffered the attack, with the witness testifying that she is unable to answer what happened in that hospital because she was not present.
Kougias: You took the child plant and you have no opinion...
Witness: You say the plant.
Kougias: (Reading a document from the Karamandanian information note) would you say that based on this child he had a good clinical picture?
Witness: I cannot assess, the child came to us after a protest. How can I rate this document?
Kougias: At this point I'm suing the witness for perjury. It is unthinkable for him to say that he cannot answer for findings scientifically. He lies while he has the special knowledge and hides it. To forward the minutes to the prosecutor's office.
But the tone in the court rose again when Mrs. Sahinidou said that as a doctor she performs CPR for more than 30 minutes (i.e. 50 minutes of CPR was performed on Georgina).
Kougias: How many times have you gone beyond 30 minutes?
Witness: Many.
Kougias: And what was the result?
Witness: There are people who did not ascend and some who did. We don't stop CPR at 10 and 20 and 30 minutes because we will think about the condition of the brain damage...
Kougias: Everywhere they only stop at your trial Unit, they don't stop with Mr. Iliadis and we'll see...
Chairman: Do you have evidence?
Kougias: Well, we also have something... Tell me a case of a child that you continued to give CPR after 10 minutes and he has no medical damage, he has arms and legs…
Witness: I can't answer you...
Kougias: Why did you do that? Why are you violating medical ethics? Why do you only do it in Rio? Nowhere else is it done in any other clinic. Only in Rio where, coincidentally, transplants also take place there.
President: Do not answer. He has said it...
Kougias: For what reason? Why are you continuing at 30 minutes? Why do you do it? What do you want; Science says you should let it go. Because he is not a child anymore, he cannot move his arms and legs….
President: He has answered...
Kougias: I am appealing to the court, because not answering is also false testimony. The witness's answer should be recorded in the minutes... Why does it continue beyond 30 minutes?
Prosecutor: No question is forbidden to appeal to the court...
Kougias: Tell me why you continue? The Cardiology company says we stop at 4 minutes, Mrs. Karatza at 20 minutes....
Witness: The asystole that occurs after an arrest cannot stop in less than 30 minutes if some other causes are not eliminated, such as hypothermia, toxins, coronary pulmonary embolism...
Kougias: In which book is it mentioned that you continue even after the 30 minutes...
Witness: The instructions of the Englishmen of 21 and the American company are these.
Kougias: In what edition are these?
Witness: You are very clever to find and download them.
Kougias: Where should we go on the Internet? To the oath you took. Where can we find them? When we pause for a while to find it.
Witness: I think I have made that clear.
Kougias: The accused lady files a new lawsuit against the witness for perjury. There is no book, no manual that says this. They have not been told at any conference.
Witness: I told you. The new '21 data of the United Kingdom and the American Society of Critical Care Medicine. These are not announced in the books, these instructions are seen by all intensivists. However, whether he will continue CPR from there and beyond is also subjective.
Kougias: Why do you and Mr. Iliadis continue and want children plants? Are you keeping it because you want to do transplants?
Chairman: I will not allow this question because for so long you are asking her questions about something hypothetical about what she is doing. He has answered you. You are trying to connect something that happened in Karamandanio with what this doctor is doing in Rio.
Kougias: We have a comprehensive trial, I ask, to assess their credibility and that of Mr. Hasapopoulos (s.s. he performed CPR on the little girl).
Requests
Earlier, with the start of the trial, Roulas Pispirigou's lawyer asked the court to immediately rule with its interim decision on Georgina's blood, which is kept at the forensic service. "We had requested that Georgina's stored blood be donated to the forensic service. Professor Mr. Tsatsakis, expert witness we have called, needs it. Let us examine the blood. Mr. Tsatakis disputes that Mr. Raikos has had the blood tested. Look at the request at some point," said the advocate.
President: By what procedural provision are you requesting it?
Kougias: The blood toxicology test is disputed by us. The defendant's previous lawyer, Mr. Papadopoulos, told her that he could not find experts...
President: Procedurally where do you support it?
Kougias: There is no prohibition anywhere.
President: We will see within the week.
Continuing, Mr. Kougias asked the court to call the pediatrician of the three daughters of the Daskalakis family for an examination. "After the testimony of Mrs. Karatzas and Mr. Iliadis, the need arose for the testimony of the pediatrician of the defendant's three children, in order to demonstrate whether the defendant took her children to the doctor and for what reason, if they were well-groomed, if she was typical mother," said Mr. Kougias, among others, who then announced that he would also file a lawsuit against the nurse, Ms. Papanikou, who had testified at the previous court session because she "concealed the fact that she is a relative of Mr. Dasakalakis and close his friend". Mr. Kougias said: "Ms. Papanikou testified falsely here that while she was in the ICU of Rio, her child gave her the impression that the couple was bathing on a beach. This photo is on August 22, '21. The child was at home then and not in the ICU."
Source: newsbomb.gr
