"As always, I do not charge truly innocent defendants."
This article, with the exception of a little reformatting, is excerpted from
Dr. Edward Robert Friedlander's highly unusual but fascinating website. Link to ERF.
"From now on," Dr. Friedlander said, "I am available as a medical expert
in other cases in which I'm convinced that an allegation of child abuse is false.
As always, I do not charge truly innocent defendants."
His curriculum vitae is below.
On the strength of this evidence, the Department of Human Services told the court, "The perpetrator has been identified" as the grandfather, the evidence being that he owned a Hallowe'en mask. They told him that if he admitted his crime and got counselling, the child would be restored to the mother. The entire family refused. I was the sole medical witness for the defense, which I took for free.
I poked around the medical library, confirmed and improved on what I already knew, and was able to testify that
(1) 3% of girls had a little nick in the hymen at the 2-3 o'clock position, just naturally, and around 20-30% of three-year-old girls have such innocent nicks ("apparent healed lacerations", I thought), which are no more indicative of trauma than is a double-chin;
(2) relying on a gram stain in this situation was totally unacceptable as a means of diagnosing gonorrhea, and the bugs were probably Neisseria sicca or one of it kin, common commensals, which tend to be extracellular while gonorrhea bacteria are usually mostly intracellular;
(3) the CDC guidelines specifically direct physicians NOT to rely on a gram stain in this situation;
(4) if this were gonorrhea, there would have been white cells in the exudate, and the abundance of epithelial cells suggested "resolving chickenpox" to me;
(5) the negative culture and DNA probes satisfied me that this was almost certainly not gonorrhea;
(6) there are published, empirical criteria for the physical examination of a girl suspected of having been sexually abused, and the "expert" had utterly failed to address or meet these;
(7) often you never find the cause of vulvovaginitis in a child. (I should have had the statistic, which is 70%; I'm sorry I didn't.)
From working in this area, I've reached the conclusion that most doctors don't want to go against the local prosecutors, or defend somebody accused of a vile crime, no matter how silly the charges. Since I'm not a family or political man, I can do this more freely than others, and enjoy the challenge.
Some of Dr. Friedlander's Stories of False Accusations
* A teenaged boy apparently had common jock itch, which was mistaken by a paraprofessional for herpes, and an adult was charged with causing this by sodomizing the boy; I wrote a letter and have heard no more since.
* A young teenaged girl made assorted accusations, some clearly untrue, against her natural father, who was in a custody battle with the mother. The local child-protection doctor evidently mistook the white line that sometimes runs from from the posterior aspect of the vulva to the anus as a healed laceration. The case is pending.
* Not child abuse, but similar. . . . A man died of a heart attack while smoking in his chair, and burned after he died. His wife was wrongfully convicted of a torch murder. My letter written in an attempt to obtain her release got me a paragraph in the Wall Street Journal. I would rather have seen her released.
* Not child abuse, but similar. . . . A teenaged boy argued with his girlfriend's father in a weightroom. Later that day, the father complained of chest pain and died. A huge blood clot was found in a major coronary artery. The local medical examiner took a photograph of what appeared to be a normal skull marking, which happened to be a bit prominent in the dead man, and a bit of blood from the extraction of the brain. He called the marking a fracture, though he did not give evidence that the bone fragments were separable, and called the death a murder from being struck on the head. As a result of this travesty, the teen did two years in jail. My consultation on the case helped with his ultimate acquittal.
Except for one case which went through a referral agency, I've handled these pro bono.
NAME: Edward Robert Friedlander
FOCUS: Pathology Education at the undergraduate medical school level
Anatomic Pathology, with an emphasis on the autopsy
Helping people understand health and disease
PRESENT POSITION AND ADDRESS:
Associate Professor and Chairman, Dept. of Pathology, Kansas City University of Medicine and Bioscience (formerly University of Health Sciences), Kansas City, Missouri
Staff physician: Medical Center of Independence
Research Medical Center / Cancer Institute
Online: “The Pathology Guy”, world’s largest one-person medical help site
OFFICE MAILING ADDRESS:
KCUMB Pathology 1750 Independence Avenue, KC MO 64124, Telephone (816)-283-2208
Date and Place of Birth: January 9, 1952; Evanston, Illinois
Marital Status: Lifelong contented bachelor
EDUCATION AND TRAINING:
Public grade schools in Illinois; graduate Lake Forest High School, Lake Forest, Illinois, 1969
Brown University, Providence, RI, September, 1969-June, 1973, Graduated magna cum laude, June, 1973. A.B. English and American Literature
Northwestern University, Chicago, Illinois, September, 1973-June, 1977. M.D.
Residency (Pathology), Northwestern University, July 1977-June, 1979.
Instructor (Pathology), East Tennessee State University, July, 1979-June, 1983.
Residency (Pathology), Bowman-Gray School of Medicine, Winston-Salem, North Carolina, July, 1982-June, 1983.
"CONTINUING MEDICAL EDUCATION" HIGHLIGHTS
Surgical Pathology, Massachusetts General Hospital 1980
Systematic Course Design, Massachusetts General Hospital 1980
Oral Pathology, Armed Forces Institute of Pathology 1981
"Basic Forensic Pathology”, Armed Forces Institute of Pathology, Nov 27-Dec 1, 2000
THESIS: Understanding William Blake's "Milton", Brown U., June, 1973.
Instructor (Pathology), East Tennessee State University, July, 1979-June, 1983.
Instructor (Pathology), Bowman-Gray School of Medicine, July, 1982-June, 1983.
Graduate Faculty, East Tennessee State University, July, 1979-1988
Director, Renal Biopsy Service, East Tennessee State University, 1984-1988.
Assistant Professor of Pathology, East Tennessee State University, July, 1983 - July, 1988.
Assistant Professor of Pathology, UMKC School of Medicine, July 1988-Feb. 1992
Clinical Associate Professor of Pathology, UMKC School of Medicine July 1992-
Clinical Assistant Professor, University of Health Sciences Jan. 1989-Feb. 1992
Clinical Associate Professor and Chairman, Dept. of Pathology, University of Health Sciences, Feb. 1992-present
Lecturer, Physical Therapy, Rockhurst College, KC MO 1991-1992
Instructor, UMKC School of Pharmacy, Jan. 1990-1992
Pathologist, Medical Examiner's Office, 1989-90 (occasional)
Pathologist, Medical Examiner's Office, March-Sept. 1994
Associate Medical Examiner, Jackson County, Sept. 1994- June 1995
Lecturer / Instructor, Center for Academic Development UMKC School of Medicine 1988-
Diplomate, American Board of Pathology, Anatomic and Clinical Pathology, 1984.
COLLEGIATE, HOSPITAL AND NATIONAL COMMITTEE MEMBERSHIPS:
Housing Committee, East Tennessee State University, 1979-1980.
Secretary to the Faculty, QD College of Medicine, 1978-1979
Blood Donor Recruitment Committee, American Red Cross, 1977-1979
Curriculum Committee, Quillen Dishner College of Medicine, 1983-7
Examination Committee, Quillen Dishner College of Medicine, 1983-7
Promotions Committee, Quillen-Dishner College of Medicine, 1983-7
Human Subjects Committee, VA Medical Center, 1984-1986.
Chief, Autopsy Service, Truman Medical Center 1988-1990
UMKC School of Medicine Problem Based Learning Task Force 1989-90
Chairman, Textbook Evaluation Committee, Group for Research in Pathology Education, 1987-1990
Director, Quality Assurance, Pathology Dept. UMKC 1990-2.
Medical Records Committee, Truman Medical Center 1991-1992
Educational Technology Committee, University of Health Sciences 1992-present
Curriculum Committee, University of Health Sciences 1995-present
American Medical Association
American Society of Clinical Pathologists (Fellow)
College of American Pathologists (Fellow #0137515)
Group for Research in Pathology Education
Lupus Foundation of America
Hemochromatosis Research Foundation
National Center for Science Education
Illinois 1978-80 (moved)
Tennessee (#MD12390) 1980-1994 (moved)
Missouri (1988-present, RJ294)
Controlled Substances Reg. Certificate US Federal DEA #AF9125988
High school department awares: Math, English
Phi Beta Kappa, Junior Year, Brown Univeristy
Magna Cum Laude (highest), Brown ‘1973
Teacher of the Year, ETSU College of Medicine 1977-8 and 1984-5
Plaque, “The Hippocratic Oath”, presented by members of the class of ‘88
Outstanding Teacher Award, 1987-8, “For excellence in teaching and genuine concern for students, from the class of ’90”
Chief Judge, Caduceus Games, Johnson City TN 1985-7
Outstanding Visiting Professor Award, University of Health Sciences 1989-90
Winner, Mortar Board Fabulous Faculty UMKC 1989
Best Medical School Teacher UMKC U-News poll, Fall 1990
Faculty Appreciation Aware 1990 “Presented to Edward R. Friedlander by the UMKC School of medicine Student Body for Excellence and Dedication to
Certificate of Appreciation Feb 16, 1991 UHS: “The Class of 1993 wishes to express its gratitude for your interest and willingness to help not only with academic affairs, but also with our personal well-being”
Best Medicine Instructor, UMKC U-News Poll, Spring 1991
Oustanding Faculty Award University of Health Sciences 1991-2
Top Instructor in Basic Science UHS Claws of 1995
Teacher of the Year 1994-5 UHS Class of 1997
“Pathology Rocks!” T-shirt edition, June 1997 by UHS Class of 1999
Certificate of Appreciation, charter class of the Lake Erie College of Osteopathic Medicine
Who’s Who in Religion 1991
Who’s Who in the Midwest 1998-
Who’s Who in America 1998-
Who’s Who in the World 2000-
Assistant Course Director, Medical Pathology I and II< ETSU 1979-83
Course Director, Medical Pathology I and II, ETSU 1983-7
Director, Clinical Pathology Section, Introduction to Clinical Medicine, ETSU 1983-88
Course Director, Year IV Pathology, UMKC School of Medicine 1988-1992
Pathology Chair, UHS 1992-
ON THE INTERNET
Home site http://www.pathguy.com/
Around 3 million different visitors yearly
This includes the largest free personalized medical information service on the Internet, and the largest one-person medical site. It is where ordinary peple typically end up when they look for information on pathology.
Health A-Z Five-star site 1997
911 Emergency Services First Alarm Site 1997
Firefighter-Paramedic Times Pride Award, 1997
Greek Site of the Week (Lambda Chi Alpha) May 12-16, 1997
Health on the Net Foundation, ethical site 1997, 2002
“Estimating the Time of Death”: First computer program for easy use by police officers that works entirely from a java-capable webpage.
“Chopper Checkers”, first working checker-playing Java applet on the internet
“Escape from the Hazers”, first random maze Java applet on the internet
“The Twelve Ideals”: Lambda Chi Alpha java applet, Bible quotations
“Kappa’s Applet” Fraternity Education
Medical Vocabulary Builder: Pascal Dos program and Java applet
Chess Variants: Approximately 800 online. Wrote the first applet that played standard chess with complete rules using only a browser.
Mandelbrot and Julia sets
Popular freeware onsite and at MPGN.COM
“Why I am Not A Postmodernist”
“Ed’s Franciscan Notes”
William Blake Site (listed in Yahoo)
Hamlet (listed in Yahoo)
Macbeth (listed in Yahoo)
Midsummer Night’s Dream (listed in Yahoo)
King Lear (listed in Yahoo)
Antony and Cleopatra (under construction)
As You Like It (under construction)
Oedipus the King (listed in Yahoo)
Tennyson’s “Timbuctoo” and “The Lady of Shalott”
Keats’s “La Belle Dame Sans Merci”
Aeschylus’s “Prometheus Bound” and “The Seven Against Thebes”
And more. Drop by!
Laboratory Manual, Medical Pathology I and II: First edition 1979, yearly revisions through 1988
Laboratory Manual, Clinical Pathology Section of ICM-IV, 1983, yearly revisions 1983-88
Case Studies: Sixty developed for UMKC 1988-90
Lecture handouts are online
“William Blake: The Medical Perspective”. Submitted to Brown U, 1988, said “high quality” but “not what they wanted to publish”, placed online1993
“Dream Your Cancer Away: The Simontons” and “A Comprehensive Glossary”. Stalker D, and Glymour C., Examining Holistic Medicine, Buffalo: Prometheus Books, 1986. Debunking health frauds.
“Mental Imagery” in Dubious Cancer Treatment, American Cancer Society 1991
LECTURES AND PRESENTATIONS
ETSU, Public Lecture, “Christian Perspectives on Evolution”, March 1986
Carolina Symposium on British Studies, Boone NC Oct 18, 1986: William Blake, the Medical Perspective
Ann. Meeting, Group for Research in Pathology Education, Tucson AZ, Jan 20, 1987. “Concept Mapping: A Technique for Pathology Education”
Ann. Mtg. Group for Research in Pathology Education, Hershey PA June 10, 1987. “Rudolf Virchow: The Pathology Teacher as Humanitarian”
American Cancer Society, Conference on Unproven Methods, Ft. Lauderdale, Florida, Nov, 21, 1987. “Imagery”, available as videotape
Appalachian History of Medicine Society, Johnson City TN Dec 1, 1987, “An Evening with Rudolf Virchow”
American Association of Medical Colleges, Annual Meeting, Washington DC, Dec. 1987, “Concept Mapping: Making Learning Meaningful”
ETSU, Jan 9, 1989: Oncogenes Update
Truman Medical Center, UMKC, Sept. 11, 1989, “Anatomic Pathology of Acute Tubular Necrosis”
Society for Scientific Exploration, Annual Meeting, Boulder Colorado, July 1989, “New Diseases”
American Association of Pathology Chairmen, Aspen Colorado, with Ivan Damnajov, “Helping the Failing Student”, July 1989
Annual Meeting, Group for Research in Pathology Education, Aspen June 1989, “Leading a Good Discussion Section”
Neuropath of AIDS, Truman Medical Center Dec. 1991
Pathology Charimen’s Meeting, Snowmass CO, July 30-31, 1992, “Remediation” with Ivan Damjanov and Sandy Templeton
“Dead Rock Stars!”, presentation for class, CME conferences, popular audiences. Primarily an anti-drug show. Reviews the death investigations of Jim Morrison (“not a heart attack”), Karen Carpenter (“not anorexia”), John Belushi, Kurt Cobain, Elvis Presley, Janis Joplin, and others. Phone me for more information.
Johnny Cochran Show, Court TV Spet 1997. Schizencephaly case. Showed pictures, gave opinions strongly favoring the prosecution
National Convention of Medical Transcriptionists, Kansas City, “Frontiers of Pathology”1999
Missouri Academy of Science and Health, “Pathology of Snakebite”, July 29, 1999
Grand Rounds, U. of Nebraska Medical Center July 12, 2002
“Pathology at Work”: Power-point presentations using music and pathology images to show how pathology investigations have examined historical mysteries and/or unusual recent deaths
Egil the Viking
Hemophilia and the Romanovs
The Minamata Disaster
The Sverdlovsk Anthrax Outbreak
The Toxic-Oil Fiasco
Recognizing Non-Accidental Injury; CME presentation in Joplin, Mo., June 2004
Mechanisms of Sudden Death: TASER corporation, Scottsdale, AZ, Autumn 2004.
Understanding Cancer: Missouri Cancer Summit, April 14-15, 2005.
Many other presentations for departments, clinicians, college humanities and science classes, local businesses, churches, community organizations.
Granular Cell Tumor of the Sinus node", Am. J. Cardiology, 71: 490, 1993.
Powell, S., Friedlander, E.R., Shihabi, Z. "Myoglobin Determination by High-Pressure Liquid Chromatography., J. Chromatogr, 317: 87-92, 1984.
Friedlander, E.R., Cultural Perspective on the diagnosis of reactive hypoglycemia [letter], Soc. Sci. Med. 22(5): 599, 1986.
Friedlander, E.R., et. al., "A Guide to Textbooks for Introductory Medical School
Pathology Courses", Arch. Path. Lab. Med. 114: 18, 1990.
Vo, N., and Friedlander, ER, "Aspirin improves the patency rate of seeded vena cava grafts", J. Cardiovas. Surg. 30: 395, 1989.
Williams, J., Chierico, G., Meyers J, Laucirica, R., Friedlander, E.R., Dralle, W.,
"Waldenstrom's Macroglobulinemia with Pulmonary Involvement", J. Tenn. Med. Assoc., 81: 431, 1988.
Friedlander, E.R., "Cultural Perspective on the Diagnosis of Reactive Hypoglycemia", Soc. Sci. Med. 22: 599, 1985.
Friedlander, E.R., "Student Feelings During Autopsy", Lab. Med. 22(3): 208, 1991; correspondence and reply "The First Autopsy", Lab. Med. 22(8): 574, 1991.
Friedlander, E.R., "Using Poetry in the Classroom", Academic Medicine 67(4): 251, April. 1992.
P.J. Kragel, E.R. Friedlander, L.K. Miller, C. Papasian, and J.C. Parker, "Starting a Pathology Medical Education Retreat in an Academic Institution", Bulletin of Pathology Education, 17: 77, 1992.
Friedlander, E.R., and Kragel, P.J., "Some Experience iwth the Gripe Question Bank", submitted to Bulleting of Pathology Education, July 1992
Friedlander, E.R., "How Should I Study Pathology?", submitted to Bulletin of Pathology Education, July 1992
Friedlander, E.R., "Pathology Bingo: A New Classroom Technique", submitted to Bulletin of Pathology Education, July 1992
Jeng-Hsiung F. Peng, Hai-Chung Xy Zhi-Xin Xu, Joseph C. Parker, Jr., Edward R. Friedlander, Jian-Ping Tang, and Srikumaran Melethil, "Aluminum-Induced Acute Cholinergic Neurotoxicity in Rat", Molecular and Chemical Neuropathology, Vol. 17, 1992
Friedlander, E.R., "An MD's note to his Osteopathic Medical Students", JAOA 93: 992, 1993.
O'Conner, TA, LaCoeur ML, Friedlander, E.R. and Thomas, R., "Penile Agenesis
associated with Urethral and Bilateral Renal Agenesis", Urology 43: 1301, 1994.
Friedlander, E.R., “Opposition to Immunization: A Pattern of Deception”, Sci. Rev. Alt. Med. 5: 18, 2001.
Episcopal church (particularly adult education; have done year or semester courses "Our Anglican Tradition" and "The Old Testament, Then and Now")
Tertiary member, Society of St. Francis (Franciscan Brothers and Sisters, Episcopal) 1979-1988.
Faculty / Educational Advisor, Sigma Rho of Lambda Chi Alpha, UMKC, 1990-; ΣP229.
Skydiving (lifetime USPA member 94759, license A37555), computer programming,
Where there is love of medicine, there is love of humankind.
Service to others is the rent that we pay for our room on earth.
A man should never be ashamed to own he has been in the wrong, which is but saying, in other words, that he is wiser today than he was yesterday.
Alexander Pope, 1727