–Y‹p‚©‚ç‚Ì‹AŠÒ

ƒzƒƒIƒpƒV[‚ÅŽ©‚ç‚̐��Œã9Î‚Ì–º‚ðŽ€‚È‚¹‚½ƒzƒƒIƒpƒV[ˆã‚Æ‚»‚̍Ȃ̍ٔ»‚ªƒI[ƒXƒgƒ‰ƒŠƒA‚Őis’†‚Å‚ ‚éF

Gloria's parents, Manju Sam, 36, and homeopath Thomas Sam, 42, of Earlwood have pleaded not guilty to the manslaughter of their nine-month-old daughter in Sydney in May 2002.

They are accused of "gross criminal negligence" by failing to get Gloria proper medical attention, instead allegedly focusing on homeopathic remedies.

The malnourished baby - who had been properly fed - died from an infection her body could not fight because all her nutrition had gone into coping with her severe eczema.

The jury has been told that in February 2002, Manju Sam took Gloria to visit her family in India, where her husband later joined them.

They arrived back in Sydney on April 27, but did not take Gloria to hospital until May 5, and she died there on May 8.

ï¿½ï¿½Œã9‚©ŒŽ‚Ì–ºGloria‚ðSydney‚ÅŽ€‚È‚¹‚Č̎Eß‚É–â‚í‚ê‚��‚éEarlwoodÝZ‚ÌManju Sam (36Î)‚ƃzƒƒIƒpƒV[ˆã Thomas Sam (42Î)‚Í–³ß‚ðŽå’��‚µ‚½B

•vÈ‚Í–ºGloria‚É“KØ‚ÈŽ¡—ÂðŽó‚¯‚³‚¹‚¸AƒzƒƒIƒpƒV[‚̃ŒƒƒfƒB‚ɂ�}‚¾‚í‚èAd‘å‚ȔƍߓIƒlƒOƒŒƒNƒg‚¾‚Æ‘i‚¦‚ç‚ê‚��‚éB

Gloria‚́A“KØ‚ɐHŽ–‚ð—^‚¦‚ç‚ê‚��‚½‚ªA‚»‚̉h—{‚ªd‚��Ž¼]‚Ɛ키‚½‚ß‚ÉŽg‚í‚ê‚āA‰h—{Ž¸’²‚É‚È‚Á‚��‚āAŠï¿½LõÇ‚Ɛ킦‚È‚©‚Á‚½B

”†Rˆõ‚½‚¿‚́Au2002”N2ŒŽ‚É•êeManju Sam‚ª‰Æ‘��‚ð–K–â‚·‚邽‚ß‚ÉGloria‚ð˜A‚ê‚ăCƒ“ƒh‚ð–K‚êA•ƒeThomas Sam‚́AŒã‚ō‡—��‚µ‚½B”Þ‚ç‚Í2002”N4ŒŽ27“ú‚ÉSydney‚É‹A‚Á‚Ä—ˆ‚½‚ªA5ŒŽ5“ú‚É‚È‚é‚Ü‚ÅGloria‚ð•a‰@‚ɘA‚ê‚čs‚©‚È‚©‚Á‚½B‚»‚µ‚Ä5ŒŽ8“ú‚ÉGloria‚ÍŽ€–S‚µ‚½Bv‚Æ•·‚©‚³‚ꂽB

[Passenger tells of baby Gloria's painful flight (2009/05/11) on Brisbane Times]

4ŒŽ27“ú‚ÌSydney‚ւ̃tƒ‰ƒCƒg‚ŁAŠù‚É–T–Ú‚É‚àˆÙí‚Í–¾‚ç‚©‚¾‚Á‚½‚ƁA“¯‚��•Ö‚ɏæ‚荇‚킹‚½æ‹q‚ªÙ”»‚ŏ،¾‚µ‚��‚éF

Baby Gloria Thomas appeared in pain as she constantly screamed during a flight from Singapore, nine days before she was taken to hospital where she died, a jury has been told.

”†R‚½‚¿‚́AƒVƒ“ƒKƒ|[ƒ‹‚©‚ç‚̃tƒ‰ƒCƒg’†AGloria‚ª’É‚Ý‚Å‹ƒ‚«‘�}‚¯‚��‚½‚Æ•·‚©‚³‚ꂽB‚»‚µ‚āA‚»‚ꂪGloria‚ªŽ€–S‚µ‚½•a‰@‚Ö˜A‚ê‚�}‚ç‚ê‚é9“ú‘O‚̂�}‚Æ‚¾‚Á‚½‚�}‚Æ‚ðB

Passenger Kirby Nelson described the crying as "a painful scream, not whingeing, hungry screaming" and said she noticed the baby had a rash which was "red and sort of like lumpy".

She said she herself may have slept for some of the flight and the baby may have been screaming for about half the time Ms Nelson was awake.

“¯ˆê•Ö‚ɏæ‚Á‚��‚½Kriby Nelson‚́Au‚�N• ‚ª‹ó‚��‚Ä‹ƒ‚��‚��‚é‚Ì‚Å‚Í‚È‚­A’ɂ݂ɔߖ‚ðã‚��‚é‚悤‚É‹ƒ‚��‚��‚Ü‚µ‚½BÔ‚¿‚á‚ñ‚͐Ԃ��”Á“_‚¾‚炯‚Å”­]‚É‚©‚©‚Á‚��‚Ü‚µ‚½BŽ„‚ª–Ú‚ªŠo‚߂Ă��‚鎞ŠÔ‚Ì”¼•ª‚­‚ç‚��‚́AÔ‚¿‚á‚ñ‚Í‹ƒ‚��‚��‚Ü‚µ‚½Bv‚Ə،¾‚µ‚½B

Her mother, Linda Nelson, said the baby appeared "very unsettled, very uncomfortable, not a happy baby at all".

Gloria's lower half was covered, but she noticed the child had a "very red, blotchy, inflamed" rash on the upper part of her skin.

Linda Nelson said she saw the baby's father, "who looked very gentle with her", walking up and down the aisle trying to placate her.

“¯‚��‚­“¯æ‚µ‚��‚½Kirby Nelson‚Ì•ê‚Å‚ ‚éLinda Nelson‚́AuÔ‚¿‚á‚ñ‚́A‚ ‚Ü‚è‚É•sˆÀ’è‚ŁA•s‰õ‚»‚¤‚ŁA•sK‚¹‚ÉŒ©‚¦‚Ü‚µ‚½BÔ‚¿‚á‚ñ‚̉º”¼g‚Í•ž‚ÅŒ©‚¦‚Ü‚¹‚ñ‚Å‚µ‚½‚ªAã”¼g‚͐Ԃ��”Á“_‚̂悤‚ȉŠÇ‚ð‹N‚�}‚µ‚��‚Ü‚µ‚½BÔ‚¿‚á‚ñ‚Ì•ƒe‚́AÔ‚¿‚á‚ñ‚É‚Æ‚Ä‚à—D‚µ‚��‚ÉŒ©‚¦‚āAÔ‚¿‚á‚ñ‚ð‚È‚¾‚߂悤‚Æ‚µ‚āA’ʘH‚ð•à‚��‚��‚Ü‚µ‚½v‚Ə،¾‚µ‚½B

Another passenger, Janet Nuttall, said the baby "was very distressed and crying a lot, in a way that concerned me".

"She seemed to be inconsolable," Ms Nuttall told the NSW Supreme Court jury.

Ms Nuttall, who had her own three children, including a 12-month-old baby, with her on the flight, told the court she also noticed the crying child.

"I noticed the child because she was extremely distressed whenever I saw her during the flight," she said.

Ms Nuttall said she had been on a lot of flights with babies but this was the only child that caused her concern.

“¯‚��‚­æ‹q‚ÌJanet Nuttall‚́uŽ„‚ª•sˆÀ‚É‚È‚é‚­‚ç‚��‚ɁAÔ‚¿‚á‚ñ‚Í”ñí‚ɋꂵ‚»‚¤‚É‹ƒ‚��‚��‚Ü‚µ‚½BˆÔ‚߂悤‚à‚ ‚è‚Ü‚¹‚ñ‚Å‚µ‚½Bv‚ÆNSWÅ‚Ù”»Š”†R‚ŏ،¾‚µ‚½B

Janet Nuttall‚ÍŽ©g‚àï¿½ï¿½Œã12‚©ŒŽ‚ÌŽq‹Ÿ‚ðŠÜ‚Þ3l‚ÌŽq‚Ì•ê‚Å‚ ‚èAu‹ƒ‚��‚��‚éÔ‚¿‚á‚ñ‚É‹C‚ª•t‚«‚Ü‚µ‚½Bƒtƒ‰ƒCƒg’†A‚��‚ÂŒ©‚Ä‚àAÔ‚¿‚á‚ñ‚Í”ñí‚ɋꂵ‚ñ‚ł��‚Ü‚µ‚½BÔ‚¿‚á‚ñ‚Ƃ��‚Á‚µ‚å‚ɍq‹ó‹@‚ɏæ‚é‚�}‚Æ‚ª‘½‚��‚Ì‚Å‚·‚ªA•sˆÀ‚ðŠï¿½L‚��‚½‚̂͏‰‚ß‚Ä‚Å‚·Bv‚Ə،¾‚µ‚½B

[Passenger tells of baby Gloria's painful flight (2009/05/11) on Brisbane Times]

ˆÙí‚ȏ󋵂ɂȂé‚܂ŁA•ú’u‚µ‚��‚½‚©‚Ƃ��‚¤‚ƁA‚»‚¤‚Å‚à‚Ȃ��B•vÈ‚ÍGloria‚ɈãŽt‚̐fŽ@‚ðŽó‚¯‚³‚¹‚��‚éB‚½‚¾‚µA‚»‚̈ãŽt‚ª‰h—{Ž¸’²‚ðŒ©—Ž‚Æ‚µ‚��‚½F

A paediatrician treating a baby for severe eczema has admitted to a Sydney court, he may have missed the deadly warning signs of malnutrition.

Ô‚¿‚á‚ñ‚̏d‚��Ž¼]‚ðŽ¡—Ã‚µ‚��‚½ï¿½ï¿½Ž™‰Èˆã‚́AÔ‚¿‚á‚ñ‚̉h—{Ž¸’²‚Ì’v–½“I‚È’\Œó‚ðŒ©“¦‚µ‚½‚©‚à‚µ‚ê‚Ȃ��‚ƁASydney–@’ì‚Å”F‚ß‚½B

But in court today their paediatrician, Dr Brian Simons has admitted, while he took note of the little girl's weight loss, it was only two months later when he received a phone call about her deteriorating condition that he realised malnutrition was killing her.

–@’ì‚ŏ��Ž™‰ÈˆãDr Brian Simons‚́AÔ‚¿‚á‚ñ‚̑̏dŒ¸­‚ð‹L˜^‚µ‚È‚ª‚çA‚»‚Ì2‚©ŒŽŒã‚ɐԂ¿‚á‚ñ‚̏󋵂ªˆ«‰»‚µ‚½‚Æ“d˜b‚ðŽó‚¯‚½ŽžA‰h—{Ž¸’²‚ŐԂ¿‚á‚ñ‚ªŽ€‚É‚©‚¯‚��‚é‚Æ‹C‚��‚½‚�}‚Æ‚ð”F‚ß‚½B

[Joel Labi: "Paediatrician missed deadly signs of malnutrition in baby Gloria Thomas" (2009/05/08) on LiveNews]

‚Ü‚½AƒCƒ“ƒh‘؍ݒ†‚àˆãŽt‚ð–K‚ê‚��‚邪A‚»‚ÌŒã‚ÍŽ¡—ÂðŽó‚¯‚³‚¹‚��‚Ȃ��B

Giving evidence by audio-link from India, V.P. Thomas, a dermatologist, said his notes showed Gloria was referred to him by a pediatrician at Century Hospital in Kerala on February 25, 2002.

He noted the baby had extensive eczema and nappy rash, and he recommended various lotions and treatments.

Dr Thomas said he advised: "I should see the case every alternate day to assess", but "this patient never presented to me again".

ƒCƒ“ƒh‚©‚çƒI[ƒfƒBƒIƒŠƒ“ƒN‚ŁA”畆‰ÈˆãV.P. Thomas‚́AufŽ@‹L˜^‚ɂ́A2002”N2ŒŽ25“ú‚ɁAKerala‚É‚ ‚éCentury Hospital‚̏��Ž™‰Èˆã‚©‚çGloria‚ðÐ‰î‚³‚ꂽ‚Æ‹L˜^‚³‚ê‚��‚éB‚»‚µ‚āAÔ‚¿‚á‚ñ‚ªL”Í‚É‚ÌŽ¼]‚Ƃ�N‚µ‚ß”­]‚É‚©‚©‚Á‚��‚é‚Æ‹L˜^‚µA‚³‚܂�L‚ȃ[ƒVƒ‡ƒ“‚ÆŽ¡—Â𐄏��‚µ‚½BŒo‰ß‚ðŠÏŽ@‚·‚邽‚ß‚É2“ú‚Ì1‰ñ‚̐fŽ@‚ª•K—v‚¾‚Á‚½‚ªAŠ³ŽÒ‚Í“ñ“x‚ÆŽp‚ðŒ»‚³‚È‚©‚Á‚½Bv‚Ə،¾‚µ‚½B

[Court told of sick baby's visit to doctor in India (2009/05/12) on Brisbane Times]

‚»‚µ‚āA2002”N5ŒŽ5“ú‚ɁAGloria‚ªydney Children's Hospital‚ɘA‚ê‚�}‚ç‚ꂽ‚Æ‚«‚̏󋵂͔ߎS‚È‚à‚Ì‚¾‚Á‚½B’S“–ˆã‚ÌPenelope Lee‚ÍŽŸ‚̂悤‚ɏ،¾‚µ‚½F

... Gloria Thomas was tiny for her age, "obviously" malnourished and her skin was red and painful, so much so that the top layer had begun to slough off, Dr Lee said. "Her hair was white, which was one of the most startling things about her because she obviously had a very dark-skinned, Indian mother," she said.

"I remember she said she'd been in India until c 10 days earlier and my question to her was why she hadn't come in in that 10 days, and I don't think she gave me an explanation for that," Dr Lee said. "She just cried." ...

Gloria‚Í”N—î‚É”ä‚�~‚Ä‘ÌŠi‚ªï¿½ï¿½‚³‚­A–¾‚ç‚©‚ɉh—{Ž¸’²‚Å‚µ‚½BGloria‚̔畆‚͐Ԃ­’ɂ݂𔺂Á‚��‚āA‚ ‚Ü‚è‚ɂЂǂ­‚āA•\‘w‚ª”—��‚µŽn‚߂Ă��‚Ü‚µ‚½BGloria‚̓Cƒ“ƒhl‚Ì•êe‚ÌŒŒ‚ð‚Ђ��‚āA”��‚ÍŠŒF‚¾‚Á‚½‚̂ɁA”¯‚Í”’‚��‚�}‚Æ‚É‹Á‚«‚Ü‚µ‚½B

Ž„‚Í•êe‚ªƒCƒ“ƒh‚©‚ç10“ú‘O‚É‹A‚Á‚½‚Ƃ�}‚낾‚ÆŒ¾‚Á‚½‚�}‚Æ‚ðŠo‚¦‚��‚Ü‚·BŽ„‚Í10“ú‚Ì‚¤‚¿‚ɉ½ŒÌA•a‰@‚ɘA‚ê‚�}‚È‚©‚Á‚½‚©‹^–â‚ÉŽv‚��‚Ü‚µ‚½‚ªA”ޏ—‚ɂ́A‚»‚Ìà–¾‚Í‚Å‚«‚Ȃ��‚ÆŽv‚��‚Ü‚µ‚½B”ޏ—‚Í‚½‚¾‹ƒ‚­‚΂©‚è‚Å‚µ‚½B

[Harriet Alexander:"Mother did not explain, just cried" (2009/05/14) on The Sydney Morning Herald]

“–ŠYŽžŠÔ‘Ñ‚Ì‹~‹}•a“‚̈ã‹ÇˆõDr.Susannah Cunningham‚à‹­‚��ˆóÛ‚ðŽó‚¯‚��‚½F

Susannah Cunningham, a registrar in pediatric emergency medicine at the time, said the case stood out in her memory because the little girl had been in such agony.

"I've not seen any cases of skin conditions this severe," Dr Cunningham told the court today.

"I've seen other cases - and would probably be able to count them on one hand - of children who had presented in a way that has remained very clearly in my mind.

"I would have seen hundreds of children with eczema, but not so severe and in so much pain and I think it's the pain that has made this case stand out for me in my memory. I vividly recall where she was in the emergency department." ...

"Gloria was squealing and distressed whenever she was moved and she would only stop when her mother's nipple was placed on her mouth as a pacifier," Dr Cunningham said. ...

ï¿½ï¿½‚³‚ȏ—‚ÌŽq‚ª‚ ‚̂悤‚È‹ê–ã‚É–ž‚¿‚��‚½‚Ì‚Å‹­‚­ˆóÛ‚ÉŽc‚è‚Ü‚µ‚½BŽ„‚͔畆‚̏ó‘Ô‚ª‚�}‚ñ‚ȂɂЂǂ��‚Ì‚ðŒ©‚½‚�}‚Æ‚ª‚ ‚è‚Ü‚¹‚ñ‚Å‚µ‚½BŽ„‚̈óÛ‚ÉŽc‚é‚悤‚ȏǏó‚ÌŽq‹Ÿ‚½‚¿‚𐔖¼AŒ©‚��‚Ü‚·BŽ¼]‚ÌŽq‹Ÿ‚½‚¿‚ð‰½•Sl‚àŒ©‚Ä‚«‚Ü‚µ‚½‚ªA‚�}‚�}‚܂ŏǏ󂪏d‚­A’ɂ݂𔺂Á‚½Ç—á‚ð‚Ý‚½‚�}‚Æ‚Í‚ ‚è‚Ü‚¹‚ñB’É‚Ý‚ª‚Ђǂ��‚�}‚ƂŁA‚�}‚̏ǗႪˆóÛ‚ÉŽc‚Á‚��‚Ü‚·B‹~‹}•a“‚Å‚Ì—lŽq‚͍¡‚Å‚à‘N‚â‚©‚É‚æ‚Ý‚ª‚¦‚è‚Ü‚·B

Gloria‚Í“®‚©‚³‚ê‚é‚Æ”ß–Â‚ð‚ ‚ï¿½ï¿½‚āA‹ê‚µ‚ñ‚ł��‚Ü‚µ‚½B‹ƒ‚«‚â‚ނ̂́A•êe‚Ì“ûŽñ‚ð‚�N‚µ‚á‚Ô‚è‚ÉŒû‚É‚µ‚½‚Æ‚«‚¾‚¯‚Å‚µ‚½B

[Harriet Alexander: "Baby Gloria 'squealing and distressed'" (2009/05/14) on Brisbane Times]

‚Ƃ�}‚ë‚ŁA•êeManju Sam‚ƃzƒƒIƒpƒV[ˆã‚Å‚ ‚镃eThomas Sam‚́A‰½ŒÌ‚�}‚ñ‚ȏó‘Ô‚É‚È‚é‚܂ŁA’ʏíˆã—Ë@ŠÖ‚É–ºGloria‚ð˜A‚ê‚čs‚©‚È‚©‚Á‚½‚Ì‚¾‚낤‚©B

‚»‚à‚»‚àƒI[ƒXƒgƒ‰ƒŠƒA‚ł̓zƒƒIƒpƒV[ˆã‚́Ad‚��Çó‚ª1TŠÔ‚©‚ç1‚©ŒŽŠÔ‘�}‚��‚½‚çA’ʏíˆã—Ë@ŠÖ‚ÉŠ³ŽÒ‚ðÐ‰î‚µ‚È‚¯‚ê‚΂Ȃç‚Ȃ��‚�}‚Æ‚É‚È‚Á‚��‚éF

HOMEOPATHS in Australia would refer patients to conventional doctors if a serious condition did not improve within a week to a month, a manslaughter jury has been told.

Homeopath Dr Vinay Katyal also told the NSW Supreme Court jury that homeopathy had nothing much to offer for acute patients.

[Homeopaths 'would refer cases to GPs' (2009/05/11) on The Australian]

‚»‚µ‚āA•ƒe‚Å‚ ‚éƒzƒƒIƒpƒV[ˆãThomas Sam‚́AƒzƒƒIƒpƒV[‚̐ê–åŠwZ(Sydney College of Homeopathic Medicine)‚ŁA”ñí‹ÎuŽt‚ð‚µ‚Ä‚ï¿½ï¿½‚āAd‚��•aó‚ÌŠ³ŽÒ‚âÇó‚ª‰ü‘P‚µ‚Ȃ��Š³ŽÒ‚ð’ʏíˆã—Ë@ŠÖ‚֏Љ‚È‚¯‚ê‚΂Ȃç‚Ȃ��‚Æ‹³‚¦‚��‚½F

Ms Cresswell said that in 1998 she took over as principal of the Sydney College of Homeopathic Medicine, where Sam was already working part-time as head of medical science.

She said the college, which she left in 2004, had a "very good reputation" and held three-year courses for students.

They were taught that if a "particular patient appears to suffer a serious illness or, alternatively they are undiagnosed but their condition continues to worsen", the matter should be referred to a conventional doctor.

"Dr Sam teaches this principle to our students," she said in her 2003 police statement.

[Judith Cresswell: "Accused homeopath taught students to go to GPs: jury told" (2009/05/20) on LiveNews]

‚à‚Á‚Æ‘‚­‚É–ºGloria‚ð’ʏíˆã—Ë@ŠÖ‚ɂ䂾‚Ë‚é‚�~‚«‚¾‚Æ•ƒe‚Í‚í‚©‚Á‚��‚½‚Í‚¸‚È‚Ì‚¾B

‚µ‚©‚µA•ƒeThomas Sam‚ÍŽŸ‚̂悤‚ÉŒxŽ@‚Ì’®Žæ‚ÅŽŸ‚̂悤‚ɏ،¾‚µ‚��‚½F

Sam was interviewed by police on May 9, the day after Gloria died in hospital after her parents took her there on May 5.

He said he first saw the redness, pus and discolouration on her eye on the evening of May 4 and became "panicky" when it was worse in the morning.

But he first went to church to fulfil a commitment made to an associate about helping there, while his wife made the preparations to go to the hospital.

The officer referred to Sam saying he was panicking about seeing the pus in the morning and asked would it have been an opportune time to take her to emergency.

"Yeah, but that half an hour might not make much difference to the child's health you know," he replied.

Asked why he had not done anything the previous evening, Sam replied: "I don't know. I was tired maybe and slept in."

As well as her eye being worse in the morning, Sam said there was a discharge from the skin rash around her groin.

"It wasn't (an) alarming thing for me .. but the eye looked really sick," he said.

The officer asked if Sam thought his care of Gloria had been reasonable, bearing in mind the discomfort she had experienced for some time.

"Definitely so ... yeah I should have taken more care definitely but I have done my level best, 100 per cent to my abilities," Sam replied.

2002”N5ŒŽ5“ú‚É—¼e‚ªGloria‚ð•a‰@‚ɘA‚ê‚čs‚«A5ŒŽ9“ú‚ÉGloria‚ªŽ€–S‚µ‚½Œã‚ŁAThomas Sam‚ÍŒxŽ@‚Ì’®Žæ‚ðŽó‚¯‚½B

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[Dad 'delayed' getting baby to hospital (2009/05/26) on TheAge]

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