好好照顾玛雅：虐儿案罗生门（2023）

‎我们被告知 如果我们计划试图离开
We were told if we planned on trying to leave
‎他们就会叫保安
that security would be called
‎如果你怀疑发生了儿童虐待
And if you have a suspicion of child abuse
‎那你需要联♥系♥儿童保护服务
well, then, you're required to contact Child Protection Services
‎几天后
Couple days later
‎我在约翰·霍普金斯看望了玛雅
I was visiting Maya at Johns Hopkins
‎有一次 护士走出房♥间
At one point, the nurse walked out of the room
‎和一个深色头发的女人走了进去
and in walked this woman with dark hair
‎你是否严肃地发誓或者确认 ‎即将给出的证词
Do you solemnly swear or affirm the testimony you give
‎完全是真实的 没有半点虚假？
is the truth, the whole truth, and nothing but the truth?
‎-我发誓 ‎-请说出你的名字 方便记录
I do. -Your name, for the record
‎莎莉·玛丽·史密斯
Sally Marie Smith
‎她从没说过自己是谁
She never stated who she was
‎她只是走进来 看看我 看看玛雅
She just walked in, looked at me, looked at Maya
‎她走进来
She came in
‎她表现得像 ‎在这个医院工作的普通医生
and she acted like a regular doctor that worked for the hospital
‎然后她开始问问题
And she started to ask questions
‎如果他们知道她是谁 ‎我们绝对不会跟她说话
If they would've known who she was, we would have never spoken to her
‎她问“玛雅怎么了？ ‎她在哪里接受治疗？”
She asked, "What's wrong with Maya? Where is she being treated?"
‎问了药物
About medications
‎我怎么能让别人给了这么高的剂量？
How could I let somebody give such high dosages?
‎我告诉她 那是医生开的药方
And I told her that's what the doctors prescribed
‎汉纳医生 从2016年1月初到10月6号♥
Dr. Hanna, I have 55 infusions here
‎我这里有55次输液
ranging from early January to October 6 of 2016
‎我知道你也开了几次 ‎口服氯♥胺♥酮♥药方
I also understand that you wrote several prescriptions for oral ketamine
‎让他们回家用
to be used at home
‎-你记得那样做过吗？ ‎-记得
Do you remember doing that? -Yes
‎腹痛有可能是因为输液引起的吗？
Is it possible that the abdominal pain was caused by these infusions?
‎我是说 那可能是一个副作用
I mean, it can be a side effect
‎他每次给孩子一千毫克
Well, he was giving the child a thousand milligrams at a time
‎一天接一天 不断持续
day after day, after day, after day
‎那不是常规的氯♥胺♥酮♥剂量
That is not routine ketamine dosing
‎我有病人每天服用1500毫克
I have patients taking 1,500 milligram a day
‎每个病人情况都不一样
Every patient is different
‎一些病人产生了耐药性
Some patients develop tolerance
‎或者他们的疾病发展了 ‎需要更高的剂量
or their disease process requires higher doses
‎四个小时给一千毫克
A thousand milligram over four hours
‎通常对她是有效果的剂量
that is what typically worked for her
‎有多个医生
There were multiple physicians
‎包括给虐待热♥线♥打电♥话♥报告中记载的
including, as documented in the, uh, report to the abuse hotline
‎担心有代理性佯病症
uh, who had concerns for Munchausen syndrome by proxy
‎-代理性佯病症 ‎-代理性佯病症
Munchausen by proxy. -Munchausen by proxy
‎代理性佯病症 或者医疗虐待儿童
Munchausen's by proxy or medical child abuse
‎代理性佯病症 ‎是虐待儿童的一种形式
Munchausen by proxy is a form of child abuse
‎孩子的监护人提供
in which a caretaker provides
‎错误或者夸张信息
false or exaggerated information
‎无视医疗建议
ignoring medical recommendations
‎而且种行为方式会对孩子造成伤害
and that pattern of behavior causes harm to the child
‎她最多就接受了十分钟的采访
She did a ten-minute interview at most
‎然后不久就出去了
and shortly after, she walks out
‎有足够的证据支持
There was ample evidence to support a diagnosis
医疗儿童虐待诊断了
of medical child abuse
‎看起来最有可能的是
and it appeared most likely
‎考尔斯基太太是最主要虐待儿童的人
that Mrs. Kowalski was the primary one who was perpetrating the child abuse
‎护士走回去帮我
The nurse walks back in that was helping me
‎她告诉我 我必须离开
She told me I had to leave
‎我女儿…
That my daughter…
‎进入了州监护
is under state custody
‎我记得我看着我女儿的眼睛 ‎她看着我
I remember looking in my daughter's eyes, and she's looking at me
‎我在想 不知道以后还能否再见到她
I'm wondering if I would ever see her again
‎他们控告她过度用药治疗玛雅
They accused her of overmedicating Maya
‎他们以为玛雅在伪装这种综合征
And they thought Maya was faking this syndrome
‎当时 我说我们需要找律师
At that time, I said, "We need to get a hold of a lawyer."
‎我在2016年10月见了考尔斯基一家
I met the Kowalskis in October of 2016, and when I first met Beata
‎我第一次见到贝亚特的时候
‎我很佩服她对孩子的病情的了解
um, I was impressed by her knowledge of her child's illness
‎她经历了很多痛苦
She had been through a lot
‎她拜访过很多医生 ‎尝试治疗她女儿的病情
She had been to a lot of doctors trying to get her daughter care
‎她非常、非常担心玛雅独自一个人
And she was very, very, very concerned about how Maya was going to do
‎在医院与他们分离 会怎么样
being in the hospital and being isolated from them
‎她不明白
She could not understand
‎为什么儿童与家庭部门要这样做
why the Department of Children and Families was doing this
‎我跟杰克和贝亚特两个人解释
I explained to both Jack and Beata
‎这种类型的案子其实非常常见
these types of cases are actually very common
‎儿童保护服务调查员 ‎有不可思议的权利带走孩子
Child Protective Service investigators have incredible power to remove children
‎他们只需要证明可能有动机
All they have to prove is that there's probable cause
‎对孩子造成伤害
that there could be harm to the child
‎在佛罗里达州 ‎儿童福利体系是私有化的
In Florida, the child welfare system is privatized
‎所以当莎莉·史密斯 ‎审查玛雅案件的时候
So when Sally Smith reviewed Maya's case
‎她是阳光海岸中心的员工
she was an employee for the Suncoast Center
‎这个中心在皮内拉斯县
That center assists in investigating child-abuse allegations
‎协助调查儿童虐待指控
in Pinellas County
‎那个儿童医院刚好位于那里
where All Children's Hospital happens to be located
‎在皮内拉斯县的孩子 ‎被从家庭带走的概率
Children in Pinellas County are almost two and a half times more likely
‎几乎比全国平均水平高2.5倍
to be removed from their families than the state average
‎我现在称之为儿童福利行业
I now refer to it as the child-welfare industry
‎但你必须记住一件事
But you have to remember something
‎70年代的儿童保护服务
Back when Child Protective Services really started in this country
‎还在国家启动的时候
in the '70s
我们讨论的是那些
we were talking about children
‎被过度身体惩罚的儿童
that had suffered from excess corporal punishment
‎被打的儿童
had been beaten
‎可能有骨折或者烟头烫的儿童
might've had broken bones or cigarette burns
‎我们谈论的是性♥虐♥待
And we were talking about sexual abuse
‎这类案件还在发生
And while those cases are still happening
‎近些年 我们使用了一个新的诊断
in recent years, we have a new diagnosis that's being used
‎医疗儿童虐待
Medical child abuse
‎任何有不寻常疾病的孩子家长
where any parent who's bringing in their child
‎去看五个不同的医生
with an unusual illness to five different doctors
‎因为你想找出孩子的问题
because you're trying to figure out what's wrong with your child
‎都可能会被指控收买♥♥医生
can be accused of doctor shopping
‎让孩子接受不必要的医疗程序
and exposing the child to unnecessary medical procedures
‎去满足他们自己的心理健康问题
to fulfill their own mental health issue
‎所以 你对贝亚特 ‎个人评价是怎样的？
So, what was your personal assessment of Beata?
‎我觉得她可能…
I think she could be, um…
‎有时候有点过于直接
a little too direct sometimes
‎可能有些医生对此感到受到了冒犯
and maybe… some of the doctors took that offensively
‎我认为在儿童医院 有人被冒犯到了
I believe somebody at All Children's Hospital was offended
‎一个冲突就开始了
and a conflict started
‎一旦我知道
As soon as I was made aware
‎莎莉·史密斯在调查
that Sally Smith was investigating
‎我马上打电♥话♥给她
I called her immediately
‎我跟她解释了 这就是我的诊断
and I explained to her, "This is what the diagnosis is."
‎如果你想看客观证据 ‎我可以给你
"If you wanna see the objective evidence, I got it for you."
‎我在电♥话♥里跟她这样说的
I told her that on the phone
‎两天后她写了一份报告
She writes a report two days later
‎她在报告里写了那个吗？没有
Did she include that in the report? No
‎我提出这个信息
I presented the information
‎是基于我的专业能力知识
to the best of my, uh, professional… ability
‎然后得出了这个结论
and, uh… came to a conclusion
‎我告诉她 如果她继续推进
I told her that if she goes forward with this
‎这可能不只是对孩子 ‎产生灾难性的后果
it would not only be a catastrophic outcome for the child
‎会给整个家庭带来永久性的伤害
it would be a permanent injury to the whole family
‎他有没有警告过你 ‎你的调查可能会对孩子和家庭
Did he warn you that your investigation could result
‎造成没有必要的永久性伤害？
in needless and permanent harm to the child and family?
‎我不知道他是否有说得这么具体
I don't know if he specifically said that
‎我知道他几天后记录了一些 ‎关于我们谈话的事
I know he documented something some days later about our conversation
‎我把我写下的东西读给你听
I read you what I wrote down
‎我肯定会承认
Um, I certainly will acknowledge
‎对孩子虐待和疏忽进行的 ‎调查和医疗评估
that, uh… investigation and medical evaluation
‎可能会给一个家庭造成一定的悲痛