Take Care of Maya Verdict Could Help Mom Who Lost Kids After False Diagnosis
"People understand that these child abuse pediatricians have unlimited power," says Aaron Rapier, an attorney for the Kruegers.

Maya Kowalski was admitted to Johns Hopkins All Children's Hospital in 2016. She was 10-years-old at the time and in extreme pain from a condition called Complex Regional Pain Syndrome (CRPS).
Sally Smith, a child abuse pediatrician who worked at the hospital through a state contract with child protective services, insisted Maya's condition was caused and exaggerated by her manipulative mother—so-called Munchausen syndrome by proxy. Deferring to Smith (over the diagnosis of Maya's doctor, a CRPS specialist), the hospital kept Maya isolated from her family for three months as she suffered in excruciating pain and loneliness, crying for her mother, who was not allowed to visit.
In despair, Maya's mother killed herself.
The Kowalskis' story is told in the Netflix documentary Take Care of Maya. Last month, a jury awarded Maya and her family $261 million for false imprisonment, medical negligence, and other charges.
At the end of the documentary, about a dozen parents briefly comment on how child abuse pediatricians destroyed their families with false diagnoses.
Smith recently retired. But the Maya documentary shows "that some child abuse doctors function mainly as prosecutorial witnesses," says Diane Redleaf, a legal consultant to my non-profit, Let Grow. Her book, They Took the Kids Last Night, chronicles six stories of parents accused of abuse who were later found innocent.
The problem, says Redleaf, is the new-ish speciality of child abuse pediatricians. They are not required to tell families that they are contracted by the state, and that they send their reports to law enforcement and child protective services.
"There needs to be more oversight on how child abuse pediatricians operate within hospital settings," says Redleaf.
Take the case of Decatur, Illinois, mom Patti Krueger. Krueger's son Wyatt was born with a rare genetic disorder that affected his breathing; he had had four operations by the time he turned two. Patti eventually brought him to the OSF St. Francis Medical Center in Peoria, where a child abuse pediatrician, Channing Petrak, arbitrarily decided that Wyatt was suffering from Munchausen syndrome by proxy.
Armed police officers escorted Wyatt's father and grandmother out of the hospital. Wyatt spent half a week alone in the hospital and was then placed in foster care, according to Aaron Rapier, an attorney for the family.
Child services also placed Wyatt's older brother, age 3, in foster care. And when Patti Krueger gave birth to her third son, he was placed in foster care four hours later. For more than a year, the Kruegers were only allowed to see their kids twice a week, from 9:00 a.m. to 11:00 a.m., with a child services official supervising.
In July 2020, a judge vacated all abuse charges against the Kruegers and ordered that the children be returned home. The Kruegers have since filed a federal lawsuit against Petrak, the hospital, and 10 child services caseworkers for illegally removing the boys from their home. When the defendants asked U.S. District Court Judge Joe McDade to dismiss the case on qualified immunity grounds, they were denied.
Krueger is slated to give her deposition next year. Unfortunately, she is currently in and out of the hospital herself, being treated for cancer. While obviously her ordeal with child services did not cause this disease, Krueger claims that she was unwilling to seek a second medical opinion about her foot pain because she was worried she would be accused of doctor-shopping—a red flag for Munchausen syndrome by proxy.
It was only when her foot no longer fit in her shoe that she finally got tested, revealing a rare and large sarcoma. Her toe had to be amputated.
Now Michelle Weidner—head of the Family Justice Resource Center, an organization that assists parents like the Kruegers—is hoping to pass a law that would require child abuse pediatricians to disclose their work with state authorities. They would also have to inform parents they have the right to a second opinion.
When the Kruegers' case comes to court, Maya's multi-million dollar verdict may come into play, says Rapier. Take Care of Maya has made the public better informed about the pain and suffering caused by false diagnoses.
"People understand that these child abuse pediatricians have unlimited power," he says.
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Wait'll you see what happens with a child therapist decides you're denying your kid's pronouns.
I remember when as a 12 or 13 y/o, I was exposed to suicide when a man eveyone in our small town knew ended his own life.
Dealing with this as a child and with some anxiety, I asked my father if he had ever considered such an action. His answer was of considerable comfort to me as a child, and turned out also to be a nugget worth carrying into adulthood. He told me, "Son, if anybody ever starts grinding on me so hard that someone has to die, it won't be me." No bravado, no raised voice special emphasis in the comment - just a statement of fact. Still seems like a health life outlook to me.
Now, how might this have applied in Maya's situation?
It takes a village.
The hospital is asking for a new trial because apparently one of the jurors wrote a note where the initial letters in Dr. Sally Smith's name look a lot like the insignia of the Nazi 'SS'.
https://www.foxnews.com/us/maya-kowalski-case-hospital-demands-new-trial-citing-jurors-note-alleged-nazi-symbols
Given the way the doctor behaved, that seems like a case where 'truth is an absolute defense'. Don't want to be tarred as an authoritarian bully, maybe don't act like one.
Since when does anyone get to look at juror's notes? In my state, the law says:
No!
The problem is always government. Always has been, always will be. It encourages people to butt in where they are not wanted, its actors are terrified of losing face, and there is zero incentive to do the right thing, 100% incentive to cover up and blame victims.
When the defendants asked U.S. District Court Judge Joe McDade to dismiss the case on qualified immunity grounds, they were denied.
Kudos to this federal judge for not blindly granting QI. I'm sure there are other federal judges who would have granted QI on the grounds that there are no other cases in that judge's jurisdiction involving the same number of children being taken for the same reason (Munchausen by proxy).
We have a severe shortage of doctors and nurses (and just about every other medical specialty). One of the contributing factors is how many "nurses" and "doctors" graduating never actually see patients but end up in some form of management position (sort of like our colleges of education where over half of all graduates are accredited for educational management not teaching) to feed an ever growing bureaucracy. Additionally, many of these end up on state governing boards, deciding scope of practice etc, but have never actually taken care of patients except in a limited educational setting. They make rules and regulations that impact both staff and patients with no understanding of what actually goes into taking care of patients. It sounds a lot like these Child Abuse Pediatricians are part of this blob.
I have a friend who went to med school and was a brilliant kid in high school. I caught up with him last year, and it turns out he never practiced medicine other than to get certain minimums to continue qualifying as a doctor for various associations. All he does is sit on a bunch of medical boards making policy for the State.
And it's people like him who drive up costs and decrease level of care because we end up devoting more time to unnecessary paperwork to satisfy regulations that make no sense to anyone who actually takes care of patients.
What gets me is I don't need an MD to know that any flavor of Munchausen's is a diagnosis of exclusion -- or one where you flat out caught the person. Not to mention that it looks like the rules of evidence are getting massively screwed. (This is interesting because normally hospitals are really really pointed about warrant, consent, or GTFO.)
They might not be part of this blob who never actually practiced medicine in a real world setting. They probably should not be practicing medicine at all.
Which is probably why dear old Susan Smith is retiring...but hopefully the medical board won't see that as a reason to not yank her license.
The Kruegers have since filed a federal lawsuit against Petrak, the hospital, and 10 child services caseworkers for illegally removing the boys from their home. When the defendants asked U.S. District Court Judge Joe McDade to dismiss the case on qualified immunity grounds, they were denied.
And man this warms my heart.
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Long time ago I testified to a Judge that I had witnessed a conversation between two Children and Youth Services Case Workers. One of them admitted having a woman's baby placed in Foster Care because of a grudge from high school. I was eating lunch with a friend who worked in the Judge's office. She convinced me to talk to the Judge and she set it up. An investigation confirmed what I had heard. The Social Workers were fired and the County settled with the woman (high six figures). The Social Workers were hired by a neighboring County.
This is a fraught issue. I recall seeing a documentary years ago (honestly don't remember where/when) that was attempting to paint the medical establishment as evil for taking a child away from a family accused of Munchausen by proxy (MBP). The slant of the documentary was definitely that the family was falsely accused. However, the facts of the case as presented made it clear that they were DEFINITELY guilty of the abuse. I could recognize it as a physician, and the documentarians were just frankly ignorant of the science and were simply on the family's side. The most charitable explanation for the family I suppose is that maybe they weren't the abusers, but SOMEONE was poisoning the child (another family member? friend?), but either way the child needed to be removed from that situation before he was further injured or killed. Sometimes children really do need to be protected from their own families or caregivers, the question is how to do that it in a way that minimizes mistakes and respects due process.
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Pediatrics is the lowest-paid specialty in medicine. ICYDK.
This is part of a pattern showing that, no matter how much people _talk_ about protecting and caring for the children, these are actually quite low priorities. Look at SAT scores to get admitted to college, look at GRE scores for students finishing a 4-year degree, both of them tell the same story. Three majors get the stupidest people to scrape through college: teaching, social work, and school administration. When teachers and social workers are low paid, it's because they're only paid what many of them are worth.
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