Watch this space

I know far more about head trauma than any neurologist should. For three and a half years I worked with two active neurosurgeons covering a huge area of an eastern state. Our drawing radius ranged from 35 to 125 miles depending on direction. I was on first call every other night and weekend, and covered all the patients (including the neurosurgical ones) during those times. It’s amazing what you’ll do to get your kids through college. I was the first to see any head trauma cases that came in whether our service admitted them or not (multiple trauma cases usually went to general surgery and/or orthopedics, with our group following them as consultants).

So it’s time to talk about orbital (eye socket) fractures. This has great relevance for the case against Darren Wilson, the cop who killed Michael Brown. As far as I can tell, whether Wilson did or not sustain an orbital fracture is extremely controversial, with statements and denials all over the internet (most of them 5 -6 days old).

The truth of the matter will be very easy to establish once his X-rays (and CAT scans) are available. If Wilson sustained any head trauma at all, it is inconceivable to me that he didn’t have X-rays and CAT scans out the gazoo (technical term).

Some orbital fractures are very easy to see with a CAT scan, which shows bone beautifully. The orbit is adjacent to sinuses (air filled spaces) below and toward the nose. Fractures bleed. Normally the sinuses are filled with air which doesn’t stop X-rays, so they normally look black. Bone stops X-rays so they look white on CAT scan. Blood (or mucus) is very easy to see in a sinus on a CAT scan.

There is always a question about how old a fracture is, but if blood is found in a sinus adjacent to the fracture, you can conclude that the fracture is new.

Sometimes there is a sinus (the frontal sinus) above the orbit, but not always. The side of the orbit toward the ear is just bone.

So the data is out there somewhere. Watch this space for more interpretation should Wilson actually have sustained one.

The only other data available for all to see, are the convenience store videos, which show how Brown was acting shortly before he was killed. It isn’t pretty. I’m sure there are better links to it, so ignore the right wing chatter, and just look at the data. http://www.breitbart.com/Big-Government/2014/08/18/Michael-Brown-Allegedly-Bum-Rushed-Officer-Punched-Him-in-Face-Grabbed-Gun-Taunted-Him

Brown was big (reportedly 6′ 4” and 300 pounds), and the video shows him pushing a clerk who doesn’t even come up to his shoulder, when the clerk (who also appears to be a person of color) confronts him.

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Comments

  • Chris Croy  On August 27, 2014 at 11:33 pm

    In terms of credibility, Breitbart and the pseudonymous “Josie” are one step above Stormfront. The most likely sequence of events (according to witnesses who aren’t too cowardly to speak to the media) is Wilson grabbed Brown through the window while still sitting inside his car and drew his gun, Brown pulled away causing Wilson to hit his head on his car door, and Wilson got disoriented and started shooting.

    Or perhaps Brown was in the grip of REEFER MADNESS and decided to murder a cop in broad daylight.

  • luysii  On August 28, 2014 at 12:32 am

    I did say to ignore the right wing chatter on the site. The link was for the videos. The scenario you described does seem implausible — reaching through the window while seated in a car to grab a guy 6′ 4″ outside the car probably can’t be found in an police training manual. But, I guess anything is possible.

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