SphenoidFractureSphenoidFracture

HemorrhageHemorrhage

C5C6

Maxillary and Sphenoidbone fractures

Fractures of the C5 and C6 vertebra

Left Clavicle fracture

8 inch lacerationswelling and deformity

Approximately 1 inchlaceration to top of lefthand

½

SwollenBruised Lefteyelid andperiorbitalarea ...bleeding

Approximately 3 inchlaceration to chin

Left hip dislocation

Swelling and deformityLeft ankle

Massive scrotal edema

Bilateral ribfractures

INJURY SUMMARYINJURY SUMMARY

11/7/06

First visit to a PreferredWomen’s Health Center with Mother. Ultrasound done.3 Laminaria inserted

11/8/06

NOVEMBER 8

11/8/06

NOVEMBER 7

11/8/06 11/8/06

11/8/06 11/8/06

Arrived at A Preferred Women’s Health Centerwith Mother

11:15amMedications begin: Miso-protosol 400mcg PO

12:15pmVistaril 50mg PO and ibuprofen 800mg PO,Misoprotosol 400mcgPO

(Time ?)

When did procedure start?

(Time ?)

Procedure stopped due tofetal position.

1:10pmValium 10mg PO

2:15pm20 units IM Pitocin

TIMELINETIMELINE

3D OVERLAY3D OVERLAY

0

1

1.5

2

2.5

3

3.5

4

4.5

5.0

5.5

2.96

1.82 1.9

5.45

1.28

2.02.29

1.82.1

2.4

1.4 1.6 1.72.0

1.6 1.81.59

2.852.65 2.83

2.53

JULY JULYJULY

20 23 27AUG AUG AUG AUG AUG AUG AUG

2 6 9 14 21 23 27SEPTSEPT OCT OCT NOV DEC DEC DEC DEC JAN JAN

7 24 5 10 5 3 24 29 30 2 3

2.5 - 3.5 recommended INR American College of Chest Physician Guidelinesfor most patients with mechanical prosthetic valves.

2.0 - 3.0 recommended INR American College of Chest Physician Guidelinesfor most patients with bioprosthetic valves.

CHARTCHART

FemurFemur

TibiaTibia

PlatePlate

ScrewsScrews

FractureFracture

3D X-RAY3D X-RAY

The stab wound was made over the dorsal aspect of the ring metacarpal

The fracture was held reduced and the wire was passed across fracture site into the proximal phalanx

A trans - MP joint 0.062 inch K wire was introduced

K-wire K-wire

Incision

Drill

Pins

2D & 3D SURGICAL2D & 3D SURGICAL

PHOTOGRAPHPHOTOGRAPH

There was pieces in there speaking of classified and explosive materials that from my background and understanding of these areas, it would have leapt out at me. As a matter of fact, my heart leapt when I read that version of it, when I saw that part about explosive. Q: Back in January of 2000, how did you receive Exhibit 38?A: I don’t remember.Q: Was there a previous revision - - or an original that you received?A: I don’t know. What I remember is really a short document with a Phase 1 price and a Phase 2 price, which I submitted to my plant manager. He said, “Proceed with Phase 1.” Q: And you do recall receiving a dust collection system study by ***** sometime in January of 2000, or in that time frame?A: Yes.Q: Did you fully read the dust collection system study from ***** when you received it? A: I would - - I would say yes.Q: Did you read it?A: I read - - I generally read everything that I get in front of me on proposals, because I - - my life deals with what-ifs.Q: You’re basing your answer on your general procedure?A: My answer would be yes.A: Since we ended with Perigon, let me ask you about that. Did you bringyour children to your plant?A: Yes.Q: would you have brought your children to your plant if you believed you were taking them to a place where they could be killed by a dust cloud explosion?A: Not no, but hell, no.Q: If you knew that there was a dust cloud explosion potential there that could have threatened you, your family and your friends, would you have sat on your hands, or would you have done something about it? A: I would have done something about it.Q: Are you 100-percent positive that ***** never sent you these e-mails that we now - - these dust collection studies that say, “Watch out”. You ‘ve got a dust potential explosion”?A: I never had anything - - Q: If they had sent you the very documents that ******* showed you, could you have prevented this whole tragedy from occurring?A: Yes.Q: All you needed was somebody like ***** to have the human decency to tell you there was a problem, and you could have fixed it very quickly, true?A: We could have looked into it and come to a - - some sort of engineering solution.Q: Have you ever received from ***** any dust collection program - - or document that even claimed to be a final report rather than one that had editorial notes on it?A: No.Q: And ******** has not yet shown you anything that purports to be a final version that has no editorial comments on it, has he?

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