[Cyprus Times] The entire apology of Roula Pispirigou. What she said about Manos Daskalakis and ketamine

The entire apology of Roula Pispirigou. What she said about Manos Daskalakis and ketamine See what she said, which, however, did not convince the investigator and prosecutor, who decided to keep her in custody

The entire apology of Roula Pispirigou for the murder of her 9-year-old daughter Georgina was made public.

As eReportaz reveals, answering the persistent questions of the judicial officer, the accused referred to her acquaintance and her "turbulent" relationship with Manos Daskalakis, as well as the last and "fatal" admission of Georgina to the hospital "Paidon" where she ended up.

The current inmate of the Korydallos prison, accused of the murder of her own daughter, referred half-heartedly to the reasons why she asked the staff of "Paidon" whether there were cameras in the wards, why the sound of Georgina's oximeter was turned off and what exactly happened with the ketamine. She attributed its administration to a "medical error" without, however, making any reference to malice on the part of the doctors.

However, her claim is categorically refuted by the material that eReportaz has already revealed, concerning the doctors' statements and the official drug form proving that Georgina was never given ketamine, which, in any case, is not administered in resuscitations.

Here is the full apology published by eReportaz:

"I deny the accusation. I refer to my apologetic memorandum of 04-04-2022, the contents of which I confirm before you as true, and to clarify what you ask me, I answer as follows.

• Q. How did your relationship with your husband begin (describe your acquaintance, your marriage and your cohabitation)?
• A.P.

• • Q. How did your relationship with your husband begin (describe your acquaintance, your marriage and your cohabitation)?
  • A.P.[/P]
  • A.P.[/P]
    • How did your relationship with your husband begin? We met in the year 2013 at a football match. We got married in the year 2013 and in the same year Georgina was born. In the year 2015 Malaina was born and in the year 2018 she got sick with leukemia and ended up in ELPIDA hospital.
    • EP. Did she end up because of leukemia?
    • AP. NO.
    • EP. Why did he end up?
    • EP. The coroner's office said she died of liver failure, but we took legal action and challenged that medical conclusion. In the year 2021 our baby was born, we didn't name her but we called her Iris, who ended up 6 months old in the cradle of our house from hypoplasia agenesis sinus node.
    • Q. Through all these blows that fate gave you, how did your marital relationship take shape and how did it affect your married life?
    • AP. Until Malaina's death in the year 2018, we were fine, but after her death the ups and downs started.
    • EP. I mean the usual ones that all couples have, that is, Manos would leave and then come home. And while I have also left the house as well.
    • Q. How did you deal with these crises in your marriage?
    • AP. Like the rest of the world. There was tension, crying, pleading, because there were emotions. But there were also our children and they were always our connecting link.
    • Q. Did you both react the same way to these crises?
    • AP. Not the same. I was more emotional, whereas my husband I might say had a heavier demeanor. My character is like that. I express more whatever emotion I have, I just don't express it in public.
    • Q. When did Georgina start having health problems?
    • AP. By the age of 8 she was a healthy child. On 08-04-2021 we were sleeping together, then she woke up in her sleep and started shaking all over her body. Then I poked her to wake her up. I say to her 'what happened she says 'mum I don't understand anything'. After 10 minutes she does it again and what I ask if she is ok or if she had a nightmare and then I turn on the light and I saw near her upper lip she is slightly flushed. In the house at the time was my sister, mother and stepfather. We all talked with the child and she complained of severe pain on the left side of her back as if she had a bomb on it and that she had a tummy ache. Then we took her to the Karamandanios hospital.
    • ER. Where was her father during this crisis of Georgina's?
    • AP. He was at his mother's.
    • EP. Was there a time when you were separated?
    • AP. Yes, it was one of the periods of crisis we experienced during our marriage.
    • EP. What happened during Georgina's hospitalization at the Karamandanio hospital?
    • AP. We arrived there, we went to the outpatient clinic, where the doctor on duty that day happened to be the doctor who had received my other daughter, 6-month-old Irida, when she was transported via ambulance from home to the hospital and was pronounced dead. This doctor also picked up Georgina and kept her as a precautionary measure due to family history, as her 2 sisters had predeceased her. I also informed Georgina's father, who immediately came to the hospital and hospitalized the child for 24 hours and then they said they would discharge her. They considered Georgina's episode to be psychological because she had not yet expressed her feelings about the deaths of her younger siblings. In fact, the doctors had done all the tests and had found nothing abnormal. When the discharge was announced, Georgina vomited.
    • Q. Were you both parents there when the discharge was announced? No, it was just me. After Georgina vomited, the doctors did not discharge her and stopped feeding her, put her on an IV and did an upper lower abdominal ultrasound, which showed that she had enlarged mesenteric lymph nodes. Doctors attributed the vomiting and the ultrasound findings to gastroenteritis The little girl was hooked up to an oximeter machine that showed wheezing and oxygen. While the child was lying in bed she was coughing some kind of cough from her throat as if she was choking. She would get out of bed slightly, vomit, cough, become pale in the face and bruise her lips. We did a chest x-ray, which showed some findings. Her dad, who I had alerted again, was also present at the x-ray and had come to examine the child. The x-ray findings were attributed by the doctors to the onset of bronchopneumonia. However, her lab tests had deteriorated because her white blood cell count was up to 27,100. The child kept complaining that she could not breathe and that her abdomen hurt. A pediatric surgeon came to examine her and told us only that she had a tenderness in her abdomen and nothing more.
    
    
    

    The first cardiac arrest

    The defendant continues in her statement: "What I have described to you so far, namely the medical acts, took place from 08 04-2021 to 11 04-2021. On the day of the cardiac arrest, on 11-04-2021, the child was with his father. I had from the hospital and went home to get some rest. From what the husband told me, while I was away, the child was still complaining of abdominal pain and from time to time her oxygen was going down . I returned to the hospital in the meantime and lay down next to her to rest and sleep. She fell asleep in my arms and then I got up to look at the oximeter monitor.

    This was because I was nervous because of the previous incident I had experienced with Malena. In fact at that moment while I was talking to a friend of mine on the phone and I was telling her that I was not making sense in this hospital and I was waiting for the next morning to sign in and leave for the university hospital in Rio, my eyes were on the monitor and I then said to my friend 'the oxygen is dropping again and she said 'run to catch the doctors' and I said 'hang up'. So when I went to call the doctors because Georgina's oxygen was dropping, I see her get out of bed and fall back sharply. I could describe this as her trying to breathe. I immediately rang the bell and went out into the corridor seeking help from the doctors.

    When the doctors came they took me out of the room, so I don't know what they did. At that moment her dad came immediately and I called him to inform him about the development of the child's health. The doctors stayed in the ward for about 1 hour and brought her back to life. Till now I did not get an answer what kind of seizure the child had on 11-04-2021. They just told me that they brought her back to life and that she had suffered a cardiac arrest. They just did not know the cause of this cardiac arrest. Because of this incident the child suffered encephalopathy.
    ICU

    After the oral apology Roula Pispirigou said that after this incident Georgina was taken to the ICU of the hospital of Rio and the director, Mr. Eliades, who is an intensivist and director of the ICU, took care of her. She was kept in the ICU for 4 months.

    
    
    • EP. He was very sad, he cried a lot, he was very concerned, the first 24 hours he slept outside the emergency room. In those first days I just went out at night because I was pregnant, in the first weeks of a new pregnancy.
    • Q. How and why was Georgina transferred from the University Hospital of Rio to the Onassis Cardiac Surgery Center?
    • AP. Mr Eliades told us that there is a defibrillator-pacemaker device, which could be placed on Georgina's body by doctor Papagiannis of the Onassisio.
    • EP. Did Mr Eliades say that this device was compulsory or did he simply recommend it to you?
    • AP. Mr. Eliades initially insisted, he recommended it to us and we as parents accepted it because when a doctor tells a parent that he can do something to shield his child we felt that we had to take this action. So we went to the Onassisio, Georgina was transferred to the ICU and we were told that we could not see her all the time because there is a timetable and specifically we could see her between 13.00-14.00 every day. I had asked to see her longer and so they gave me a concession and I went and saw her in the afternoons. Mr. Papagiannis told us that first the child has to have a cardiac check and then he will place the defibrillator-pacemaker. At the same time we also had blood tests to do genetic testing for genes responsible for cardiomyopathies.
    • EP. After the cardiac tests, did Mr. Papagiannis give the green light to place the defibrillator-pacemaker?
    • EP. Mr. Papagiannis did not want to give his approval for the placement of the defibrillator-pacemaker on the grounds that the child's problem was not cardiological, but pulmonological-neurological which is more related to oxygen, but both my husband and I insisted that this machine be placed in our daughter.
    • EP. Why did you insist so much when the doctor told you that it was not necessary?
    • EP. Because before we went to the Onassis Hospital, Mr. Eliades had told us that in order for the child to be shielded, this machine must be placed in the child's body. We had confidence in Mr. Eliades which is why we insisted so much. Also, we felt confident that this way the child would be safe.
    • Q. How did Georgina's hospitalization at the Onassis Hospital continue?
    • AP. On the first night of her hospitalization, Georgina had about the same episode that occurred during her cardiac arrest. Not to the same extent, but to a lesser degree. That's because she was already in the ICU and was caught and intubated immediately. The child stayed intubated for about three 24 hours and in the ICU of the Onassis Hospital she stayed about 25 days in total. Throughout her hospitalization Georgina was in the ICU of Onassisio where she contracted 2 germs one of which could have been fatal but again the doctors caught it. When Georgina's health was now restored from the infections, that's when the defibrillator-pacemaker was placed. The placement took place on 02 06-2021 and after a few days she was transferred from Onassisio to the ICU of the University Hospital of Patras in Rio. He was discharged from the ICU of the hospital in Rio on 19-07-2021 and we went home.
    • EP. Until January 2022, when she had to be hospitalized again.
    • EP. Of course. All this time both at the Onassis Hospital and at home we were together with the husband. He had returned again.
    • EP. During the time you were at home, how was the husband's behavior both towards you and towards Georgina?
    • EP. He worked long hours to take care of the child, but he was interested and both he and I were trying to make the child feel better.
    • EP. At this time in your life when it was difficult, how would you describe him as a father?
    • AP. He was a good father who wanted the best for his child. He was distressed with the problem of Georgina's encephalopathy.
    • Q. How did you treat Georgina?
    • AP. I never showed her that I was upset because of the encephalopathy she had suffered, because I didn't want her to understand the difference between before and after. I tried to behave as if nothing bad had happened to her health so I continued to behave as if nothing had changed, e.g. we watched children, I invited her friends over, I gave her parties etc.
    • Q. Do you think Georgina understood what was happening to her despite the encephalopathy?
    • AP. She understood everything. That is verified. I'm sure she understood because she reacted to external stimuli, meaning when I wasn't around she would roll her eyes around the room and seem to be looking for me, we would watch children's television and shows together and she would pick up on anything funny and in games we would play she would laugh again, she would try to raise her arms and dance when she heard songs. In fact I have many videos of her reactions like that. She even responded to the physical and speech therapist's commands.
    • Q. When was Georgina's next episode?
    • AP. On 17-01-2022 we had arranged with Mr. Eliades to do a brain MRI to see what condition the child was in so that we could pursue further treatment. All the while the child was at home we were in constant communication with Mr. Eliades and kept him accurately informed of what was happening. Mr Eliades admitted her to the ICU of Patras Hospital. In order to perform an MRI of Georgina's brain, she was intoxicated and given chloral. While she should have woken up relatively soon from this intoxication, the child was delayed. I waited outside. When Mr. Eliades came out to leave and I asked Mr. Eliades why she was not waking up he said that every child reacts differently and we should wait and said it was nothing to worry about. Then we got out of the ICU and went home. At that time the child was going during the afternoon hours to an activity centre for children with special needs. We continued this activity, but I received a call from this center that they saw her tired and so they brought her home and when she came home while I was at that moment talking by video call with my husband, who was coming from Athens to Patras in his work van. I showed him Georgina over the video call and it was then that the child started foaming at the mouth, fixing her gaze on the ceiling and clenching her mouth. My husband told me to call the emergency room, which I did, and at the suggestion of the intensivists I gave her half the dose of STEDON she was taking and the antiepileptic drug KEPPRA.
    • Q. How did Georgina react to the administration of these drugs?
    • AP. She calmed down, I gave her a bath, administered her medication and milk through gastrostomy, which was done while she was hospitalized in the ICU of Patras, after a one-day hospitalization in Karamandaneio. In the night her dad and I heard her making a vomiting noise and from that day onwards whatever we put in her gastrostomy, either food, water or medicine, she vomited.
    • Q. When did she have alarming episodes and did you take her to the PIO?
    • AP. On 19-01-2022 she had to be hospitalized because she was vomiting a lot.
    • Q. When and for what reason was she transferred from the hospital in Rio to Aglaia Kyriakou Children's Hospital?
    • AP. On 26-01-2022, because she had episodes, a total of 9, of which her father was present in 2 episodes and only I was present in the rest, similar to the ones she had in Karamandaneio and the ones she had in Onassisio.
    • EP. How was the evacuation?
    • AP. By ambulance.
    • EP. Who was with her? The pediatrician. I and her father followed behind.
    • EP. Describe Georgina's hospitalization at the Aglaia Kyriakou Children's Hospital, i.e. tell us exactly what happened from her admission until the fatal incident.
    • AP. She was taken to Aglaia Kyriakou Children's Hospital because there was no 24-hour electroencephalogram in the hospital in Rio. This was because the doctors in Rio believed that the episodes were due to epilepsy because of the encephalopathy. So they wanted the matter investigated by a neurologist. So the doctors took the child's history and then took us to the hospital ward.
    • EP. How many beds did this ward have?
    • AP. One.

    Episodes

    In the continuation of her apology, Roula Pispirigou referred to the last "episodes" which the unfortunate Georgina had in "Paidon" shortly before she ended up from the fatal dose of ketamine.

    
    
    • EP. Had you requested a single room? I didn't ask for that, I just asked. The doctors themselves told me that in any case it is imperative that the child be treated in a single room because of this condition and in similar cases they give such rooms.
    • EP. What was Georgina's condition during her hospitalization at the Children's Hospital?
    • AP. For the first 24 hours her condition was stable and then the episodes began. What I want to tell you is that usually when the child was in trouble she would have 2 or 3 small episodes that would resolve on their own and then she would have a big episode that needed the doctors' intervention.
    • EP. She had about 4 episodes on 28-01-2022. One was in the morning just before the doctors visited the room, which the doctors saw it from the beginning and then they administered all the drugs and asked me to show them the video I had taken in Patras, with the whole episode. Then the same day he had other episodes.
    • EP. Yes, I was the only one present.
    • EP. On 28-01-2022 the doctors decided that you should not administer the drugs through gastrostomy but that the nursing staff should do it. Why was this decision made?
    • Q. I don't know, but I know that there were also changes in the medication.
    • Q. How did you learn to administer medication by gastrostomy?
    • AP. I was shown the procedure in the ICU of the Patras hospital, as I was shown how to administer food and how to give water.
    • EP. On 28-01-2022 at some point you mentioned to a pediatrician at Children's that these episodes you saw were nothing. The biggest episode hasn't made it yet, you'll see." Why did you believe that another episode would follow and how did you know? Based on the episodes she had in the previous days during her hospitalization in Patras hospital, I knew that she usually has small episodes and one big episode. And I said this in order for the doctors to be alert and to expect that another larger episode might follow.
    • EP. Yes, but as the child's companion there could not have been anyone else present.
    • EP. Did you actually ask if there were cameras in the hospital?
    • AP. I did ask but not on that point. That day on leaving the room for examinations the police had come to investigate an incident of theft on the floor. So my question was more a question of wonder and concern because for us in the room there was an electroencephalogram, which is a very expensive machine and I didn't want anything to happen and for us to be held responsible.
    • Q. On 29-01-2022 at noon when the fatal episode for Georgina began to manifest itself, what exactly did you do, that is, what were your movements and how did you act?
    • AS. Georgina due to the episode of the previous night had developed a fever and was constantly sleeping and was permanently on oxygen. Around 2:20 p.m. I was looking at the monitor and saw that it was up 142 to 145 pulses. I went out into the hallway, went to the nurses' station, saw them all outside and called them to come to the room quickly because he was starting to have episodes. We did indeed all run together, the doctor looked at her eyes and saw that she was unresponsive and asked us to call the ICU. I placed the AMBU on the oxygen supply, put the defibrillator-pacemaker monitor on the child's chest to record its operation and signal to Mr. Papagiannis, then left the room and then in a very short time the ICU unit came. What the doctors and nurses did while I waited outside I do not know. After 10 minutes of the incident the intensivist came out of the room and told me that the child was starting to bruise. I told him to continue resuscitation efforts because in a previous incident the child had recovered 55 minutes later. So he returned to the room and continued the effort. After some time, I don't remember exactly how long, I saw him again and then he announced that the child was gone.

    Oximeter

    
    
    • ER. Why didn't the oximeter go off at the time of the fatal episode?
    • AS: From the first day we went to Children's, an oximeter was placed on the little girl's toe. I had turned the sound down so as not to disturb the little girl during her sleep, with the knowledge of the nurses and doctors.
    • EP. According to a nurse's testimony, this oximeter emits sounds that can be felt in the nurses' posture. What do you have to say about why the sound of the oximeter was not heard in the nurses' station in Georgina's case?
    • EP. What I have to say is that this oximeter is a simple oximeter and it can only be heard in the ward and there is no transmission of the sound in the nurses' station. While I was in the room I did not hear the sound of the oximeter. Besides, the child's arrivals had not yet dropped much. From then on I cannot know what happened when doctors and nurses entered the room. I mention this in the sense that it was a moment of tension and of course I don't believe that anything was done maliciously.
    • Q. Why did you ask for an autopsy in Patras?
    • Q. We requested it together with her dad, he just did the procedures. The autopsy-necropsy of Malaina was done in Athens and because we were still in dispute with the forensic service that's why we asked for the autopsy-necropsy to be done in Patras where we didn't have any problems and the autopsy-necropsy of my 6-month-old baby was done there.
    • Q. From the toxicological tests it seems that the substance ketamine is present in Georgina's blood.
    • Q. From the toxicological tests it seems that the substance ketamine is present in Georgina's blood. Do you know what this substance is? No, I didn't know it until now. I first heard about this substance on television. At the moment when I heard about this finding on the Mega channel from the journalist Lambropoulos, I went online to find out what this substance is and at the same time I was talking to Manos on the Messenger and I was informing him what the TV was saying. Not 15 minutes later I was arrested. For the first time I got more substantial knowledge about the substance 'ketamine' after my arrest, from my lawyers and from my relatives who on their own looked it up to see what this substance is.
    • EP. How could this substance have been administered to Georgina?
    • AP. I have no way of knowing. I have information that it is a hospital drug and that it is administered in ICU by intensivists. So I believe that something happened while we were in the hospital without blaming any of the doctors or nurses, that is, that they did something on purpose. Mistakes are human. I also learned from the case file that the maximum time for death to occur is 15 to 20 minutes, and from the time I alerted to the incident until the time the defibrillator-pacemaker gave the last signal to the cardiologist at least 40 minutes had passed.
    • Q. Tell us what you do?
    • AP. I'm unemployed now. I have worked as a maid, as an assistant referee, in first aid at soccer games for the teams Manos played for, and in grandmother's care.
    • EP. Where did you learn to administer first aid?
    • AP. At the Red Cross by doing a seminar.
    • EP. Do you have other knowledge of nursing besides your knowledge of first aid?
    • AP. I graduated from a technical high school as a nursing assistant, but I have never practiced the profession.
    • EP. When one has a technical high school diploma as a nursing assistant, what exactly can one do and where can one be employed?
    • AP. He can take care of a sick person in the sense of nursing and hygiene. One also learns how to give an intramuscular injection. One can be employed as a nursing assistant. In order to practice the profession one must have done a 6-month internship to get the license. I personally did not complete this internship and therefore do not have a license to practice. Finally I want to say that I have never hurt any of my children, I have lost 3 children and have been in this position unfairly. I want to go to my children. Before I was in this position a better investigation should have been done. The last signal from the defibrillator-pacemaker to Mr Papagiannis is at 15:10′ showing him that the substance 'ketamine' was not administered by me since I have not been in the room since 14.30′, Finally I declare that I am available for the imposition of any restraining order, even house arrest with electronic monitoring. I reside at the above-mentioned address and declare that I will be available to the authorities whenever requested. I have nothing more to add.

    Source: in.gr

    
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