"In a brief hearing Thursday, a lawyer for the state medical
examiner’s office said it had not completed its review of the medical
evidence in the 2013 death of a Cambridge infant, and wanted the chief
medical examiner to review the case as well. “There’s been no
final conclusion,’’ Jacqueline Faherty, general counsel for the state
agency, said in Middlesex Superior Court. She estimated the review
would be completed in two to four weeks. The review began in April, but Faherty said the medical examiner’s
office did not receive all the evidence until June. The office requested
a few additional items Wednesday, which were not specified. Rehma
Sabir’s nanny, Aisling Brady McCarthy, has been charged with
first-degree murder in connection with the death of the 1-year-old girl
based in part on the pathologist’s conclusion that the child died from
traumatic head injuries. Middlesex District Attorney Marian T.
Ryan’s office has alleged McCarthy caused those injuries while she was
caring for the child in the family’s Cambridge home. But defense
attorneys have cited a range of specialists who question the
pathologist’s conclusions.........The move came amid growing doubts about the underlying science in abusive head trauma diagnoses, and followed a revised ruling last summer in the death of a 6-month-old boy in Malden. In
that case, the medical examiner’s office initially ruled that the
infant died from shaking injuries to the head, but after receiving more
information about the family’s medical history ruled the manner of death
could not be determined. A number of outside medical specialists concluded that the infant had died of natural causes. In
light of the change, Middlesex prosecutors dropped murder charges
against the child’s father. Under the law, the medical examiner must
identify the cause of death as a homicide in order for a murder
prosecution to take place. Prosecutors allege that Sabir was in
McCarthy’s sole care when she suffered massive brain injuries, which
included extensive bleeding in her brain and the back of her eyes.
Specialists said she was subjected to violent force and that the
injuries not have been inflicted before that day. But McCarthy’s
lawyers have maintained her innocence, citing medical opinions that the
child sustained bone and compression fractures several weeks before her
death, when she was traveling abroad with her family without McCarthy. The next hearing is scheduled for Aug. 28. The trial is slated to begin in October and last about six weeks."
https://www.bostonglobe.com/metro/2015/07/30/medical-examiner-office-needs-more-time-review-findings-death-year-old/vx8EnlWDvIMVFPuH82BwZN/story.html