LOU CARR & PROFESSIONAL INVESTIGATIONS: TRANSITIONING

MORE SURVEILLANCE IS NEEDED

noreply@blogger.com (Luis carrasco, MD,) — Sat, 17 Apr 2010 14:41:50 PDT

NEXT IN OUR DISCUSSION

You are welcome to express your ideas, suggestions, please post your comments.

Let the children be children

noreply@blogger.com (Luis carrasco, MD,) — Sat, 29 May 2010 06:53:58 PDT

The increased number cases of chid abuse and neglect has its etiology in the very heart of our society is out of control. When you contemplate how our school system is operating, how children are being raped in schools, in school buses with children on board, and a driver who is problably in another thought dimension. When you observe the hard working social workers who try their best while being understaffed, overworked, and miserably underpaid. When a driver of a truck makes more money than a peace officer. When school teachers must concern themselves not only with the educational system for their students which by the way happens to sucks, but also with constantly inspecting kids for bruising depressed mood, dirty clothes or simply no acting well. When you hear that child abused victims are in a waiting list to be medically evaluated. One has to conclude that we have the poorest system that can only be compared with the most corrupted nations in the word.
I have recently evaluated two children with inflicted injuries which to my surprise was the initiative of a concerned social worker who was simply fed up with this injustice of dragging with victimized children. It is a damn daily occurence! And for the first time, at least to my experience in working with children for 13 years only in KY and IN, two victims are diverted from the inconceivable routine of "waiting list for evaluation" and brought to prompt medical attention, with law enforement notification with prompt responce and dedication of a police officer and a detective form MPD, forensic data obtained, and further continuity of care established for the victims since the repercussions and scars remains.
I think it is time to take a stand like the brave attorney from Louiseville who despite world critizism had the guts to embark into seeking justice for the victims, and justice for predators and a bands of criminals at large who call themself infalible and untouchable under the umbrella of a mutated political machinery.
What the people do not know is that crimes against children is alarminly growing exponentially contrary to recent articles written based on metropolitan statistics.
We need to act with active and proactive measures targeting schools, families, churches, social gathering, stores, the internet, social network, cell phones, emails to protected the children and aprehend the criminals. We need the help of Forensic pediatricians, a subspeciaty created for the mere purpose of prevention and protection, no so much intervene forensic skills after the fact or post mortem. That is the job of law enforcement.
Hey, I figure, if we can spy, wiretap, for political Nixonian reasons, we could we could do better in monitor of children, and protecting them.

A Kentucky crisis that needs Professional Investigation and Action

noreply@blogger.com (Luis carrasco, MD,) — Tue, 16 Mar 2010 15:59:56 PDT

My training in Pediatric Residency included among other things, reporting Child abuse to "Child Protective Service" and also participating in the Sexual abuse Assessment team (in cases of physical abuse, and sexual or gender abuse). The process of evaluating a child usually took sometimes 2-3 hours depending on degree of injuries or whether surgical consultation was needed. Other evaluations would follow, law enforcement interviews, photos, Laboratory testing, imaging studies, colposcopy, collecting evidence from child's hair, mouth, orifices, etc.
The threshold for child abuse was always as low as you can imagine in preventing, reporting and evaluating, which at times the case warranted referral to a Child Advocacy Center where skilled individuals, and a Pediatrician trained in Child Abuse perform the examination, especially in small town cases far from a major hospitals. In the past twelve years, however I have observed an interesting and concerning behavior among some health care providers, and the Department of Social Service (Child Protective Services, or Child Advocacy Services). The threshold for reporting, evaluating and following these victimized children is escalating as the problem itself. This is concerning because it simply means that cases of child abuse in America are not being given serious attention by authorities (politicians and physicians). The evaluations are not as thorough as they should be. This is a growing problem in our society with impending ramifications. In my personal experience, I have had cases in which I had to literally insist in further assessments, and follow ups with referral institutions. What really bothers me is that in the United States there are fellowship training (subspecialty) in Child Abuse/ Pediatric Forensics. I ask myself why then this neglect from child advocates? Taking a report (paper work) from a parent about her child recently victimized sexually is not enough. Professional investigation is necessary to ascertain at least the Why victims in need of protection, and better quality of medical assessment are not getting it.

attentionSpin

noreply@blogger.com (Luis carrasco, MD,) — Sun, 14 Mar 2010 13:50:34 PDT

attentionSpin

From Health care provider to Professional Investigator

missing persons, criminal investigation

noreply@blogger.com (Luis carrasco, MD,) — Sun, 14 Mar 2010 13:19:24 PDT

Conflicting scenarios

noreply@blogger.com (Luis carrasco, MD,) — Sun, 15 Nov 2009 08:59:27 PST

It was a Saturday morning when I was called in to look at a child with injuries that seemed inflicted. The child's age indicated that such injuries could not have been self inflicted. I didn't have much time, and stabilizing the child prior to air transport was crucial and top priority. Meanwhile, law enforcement was doing the on site investigation, but the suspect was three feet away from me. I was not running the code at the head of the bed, but I had to be there to help out. The victim was stabilized and airlifted. Those who stayed behind as usually wondered about the what, why, how, who, when, and where. I found myself in the perfect position and opportunity to conduct a preliminary interview with the most likely suspect. I took advantage and crossed boundaries. I found a quiet nice office near the Emergency Department, set the room, became friendly with the subject, pulled my questionnaire, and gathered the interview essentials from the subject. The information gathered was documented, and later incorporated in the formal police investigation. I stayed out of the picture, at least as an investigator. See the conflict ? Transition is inevitable.

TRANSITIONING

noreply@blogger.com (Luis carrasco, MD,) — Sat, 29 May 2010 06:45:22 PDT

For almost two decades my job has been asking questions, listening, observing nonverbal language, examining, analyzing, and make a desicion to resolve the issue at hand. This service has been rendered to a variety of individuals with one thing in common, a problem they cannot deal with, and want resolved. The common denominator has been health issues. This covers an ample territory of complex conditions involving the mind, the body and the social aspect of health.

My experience as a physician has given me that one key element that is essentially complementary in the field of investigations. Transitioning into Professional Investigation departs somewhat from the healthcare arena, and enters into a more exciting, fascinating and new form of searching the truth. One of the most important elements I adopt and bring to Investigations from medicine is the perseverance, and prompt resolution to a given situation or or case. It would be unfair to say that the work of a PI is an easy one. Professional Investigation is itself a career that demands a different scope of especial training, skills, and knowledge. Boston University has given me opportunity to learn how to become the best in professional investigation. The director Tom Shamshak is a leading authority in the field. Having him as my teacher is a constant reminder of doing always the best job.