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September 14, 2010

Who is Dr. Kayoko Kifuji?

Posted: 11:42 AM ET

Brockton, MA - Much of the controversy in the death of Rebecca Riley and the subsequent murder trials of Carolyn and Michael Riley has centered on a woman who isn’t on trial herself, but has nevertheless been vilified by both prosecutors and defense attorneys.  That person is Dr. Kayoko Kifuji, the child psychiatrist who eventually treated all three of the Riley children, and who prescribed the medications that the Commonwealth of Massachusetts claims ultimately led to Rebecca’s death.

A native of Japan, Dr. Kifuji first came to the United States in the early 1990s, after attending medical school in her homeland.  After specialized training in psychiatry, she began to work in Springfield, Massachusetts at Bay State Medical Center.  It was in Springfield that she first came into contact with the Riley family, where she began to treat Kaitlynne Riley in the spring of 2003.  By the time Carolyn Riley first took Rebecca to see Dr. Kifuji in the late summer of 2004, the doctor had moved her practice to Tufts Medical Center in Boston.  But the Rileys have said they were so happy with the way Kaitlynne responded to the medications she was now being prescribed that they regularly traveled to Boston to continue to see Kifuji, and eventually moved to Weymouth, south of the city.

After Rebecca died, Dr. Kifuji was widely criticized for the large amounts of prescription medications – particularly clonidine – that she repeatedly authorized for the Riley children; several prosecution medical experts have said that clonidine toxicity either killed Rebecca directly or was a contributing factor to her death.  The Plymouth County District Attorney’s Office submitted a case against her to a grand jury but, after examining all the evidence, those jurors declined to bring an indictment.

That did not, however, end Kifuji’s legal troubles.  She is now the object of a civil lawsuit – along with Tufts Medical Center, her employer – filed by attorneys representing the estate of Rebecca Riley.  Should any monetary award ever be awarded to the plaintiffs as a result of that lawsuit, the proceeds would go to Kaitlynne and Gerard Riley, Rebecca’s surviving siblings.

For her part, Dr. Kifuji steadfastly denies any wrongdoing.  When asked during Michael Riley’s trial if she had any second thoughts about Rebecca’s care, she replied, “No, I have not . . . based on the information I received . . . and on my observations of the patient . . . I have not changed my mind about her diagnosis and treatment.”

-Michael Christian, In Session Field Producer

Filed under: Trials


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Sue McComis   September 14th, 2010 3:33 pm ET

I feel that Dr. Kayoko Kifuji is just as responsible in Rebecca Riley's death as her parents. I hope that all of the parents of Dr. Kifuji's patient's are aware of the damaged that woman can do to their children. In my book she posses far more danger to society than the Riley's do.


Margaret   September 14th, 2010 6:08 pm ET

Who is this prescription monster. Do I hear lots of plausible deniablity
How much money is this doctor and others like her sucking out of the
medicare/medicaid. Who is watching over these doctors if they can be called doctors.


Mary Lanosa   September 14th, 2010 10:33 pm ET

I firmly believe that Dr. Kifuji should face criminal charges. Why didn't she insist on routine blood work for the children to be sure they were not being over medicated, or that the drugs were not building up in their system to level not considered safe.?! My doctor (and I am 53 years old) does insist on blood work for medicine I have been taking over a period of months to be sure there are no adverse events happening with my body in relation to the meds. I also cannot understand how the Rileys didn't question the amount of meds the children were prescribed. A second opinion would or could have saved a life. I am sad at this unecessary death of yet another child.


Elizabeth   September 15th, 2010 8:35 am ET

This woman should be brought up on involuntary manslaughter charges. She should have known that a 4 yr old child could not be diagnosed at such a young age with bi-polar disease. The parents probably got on the internet and looked up the symptoms for this and told the Dr. that their daughter was experiencing them. She should be held accountable for what she prescribed and hopefully the lawsuit will do this, although it will not stop her from practicing unless somebody files a complaint with the Medical Board in that state. Her license can be suspended then.


Michele   September 15th, 2010 9:54 am ET

My son who is 16 with autism was just recently prescribed Seroquel and his whe doctor was even hesitant to give the medication because of his age..What in the world was this doctor thinking giving this to a 4 year old?..Of course nothing will happen to the good doctor because they seem to be above the law. The parents are to blame for over medicating this poor girl and for not getting her treatment for her pneumonia and sepsis. There had to have been a whole plethura of obvious symptoms this child was presenting that the parents ignored.


catt   September 15th, 2010 10:23 am ET

they where good mom and dad to child and are not responsable for there childs death they are depended on the medical help of there doctor who only guessed what was wrong by what she knew and studied in school evry doctor is a specialest they treat this not that and what kills you is not what she looks for people should go to general doctors its a sid to let this careless doctor suck the money out of these people then let tem go to jail for her manslater of that child


cregis   September 15th, 2010 10:23 am ET

Boy if I wanted to take drugs I know what quack doctor to go to but it would be hard to have to listen to that voice. Has she never seen a normal 2 year old? Climbing and running into traffic is normal if one doesn't watch a 2 year old. I think she was happy to treat this family because she knew she would get paid by the government which at that time paid faster than private insurance. I hope all her patients have been re-evaluated by other doctors.


James   September 15th, 2010 10:24 am ET

What doctor in their right mind would give a 4 year-old child chlonodine which is one of the most potent high blood pressure medicines on the market. I agree this doctor is just as responsible as the mom and dad. You just don't give adult medicine to a child.


Retha Tallent   September 15th, 2010 10:26 am ET

Elizabeth, the doctor got immunity for her testamony. Also, the parents were looking for a doctor who would prescribe these medications because they wanted Rebecca to be declared disable so that they could draw a Social Security check off of her. When this doctor moved away from them they couldn't find another doctor who would prescribe the medication. At that point, they moved the family to the city that was close to Dr. Kifuji. Surely, she has lost her medical license. Who ever heard of diagnosing a child with ADHD at the age of 2, and Bipolar at the age of 4? She is a dangerous quack.


Pamela Doner   September 15th, 2010 10:47 am ET

This doctor's medical license needs to go bye bye. And she should be held liable.


catt   September 15th, 2010 10:48 am ET

doctor has given to meny pills and not order the child to be taken to her office for her blood pressur once a week the doctor is at fault for not monitoring the child


Tricia Dyer   September 15th, 2010 10:52 am ET

What in the world is wrong with the doctor who prescribed one dosage of clonodine and then let the parent give this sweet little girl twice the dosage. The doctor should be on trial for the death of this child. She did not take care of the this child as she should have. She should have her doctor license taken away from her and should never be allowed to have patients again under any circumstances. This child died not only because the parents did not take care of her as they should have but because the doctor was not doing her job as she should have. I am amazed that they did not put this doctor on trail for the death of this precious little girl. There are just some people who should never have children and doctors who should never be allowed to be doctors.


catt   September 15th, 2010 11:02 am ET

why didnt the doctor ask to admit the child for a way to know the best way to treat her and know her pill s where right and her health was fine no she was not a good doctor she leftthe care of the child to the parents who depened on her to tell them what to do


Terry   September 15th, 2010 11:12 am ET

When the prosecuter asked Dr. Kifuji to identify the clonadine in the varies bags of pills that had been seized. The Dr. could not, stating that she prescribes medication but is not a pharmacist. However when questioned about the prescribed dosage 1/4 to 1/2 tablet she seemed well aware that this particular pill was not easy to break into quarters. I don't think this makes sense. She knows exactly what the pill looks like and it's sad she is not on trial as well.


catt   September 15th, 2010 11:35 am ET

people please look at the doctors face do you see compasion for the loss of that child she looks like death is nothing compaired to her life no pitty for the family and she looks druged herself now look at the childs dad his cheeks are red his eyes are sad he loved his child in life he loves his child in death and if walgreens did not agree with the doctor why didnt the doctor think maybe i am wrong


Carol Samuel   September 15th, 2010 11:44 am ET

Who should diagnose a 3-year old as ADHD? For a year this child was taking medication not meant for her. I can't imagine what damage has been done to the two remaining children. I believe the doctor should be charged with murder. She provided the method of death for this little girl. My son was ADHD. He didn't receive medication until 5th grade-and then it was monitored by the psychiatrist. We worked on many methods to help with (without meds). It was a long process but we did it. What difference is this from Anna Nicole, Michael Jackson doctors over medicating them. At least they were old enough to make that choice; Rebecca isn't


Edith   September 15th, 2010 11:56 am ET

My son has seizures and his seizures are normally at night time in their sleep. My pediatrician gave him melitonin to help him sleep. The doctor should have given her a natural medicine before giving a strong drug like that.


Kathleen   September 15th, 2010 12:04 pm ET

Is there any word as to whether or not psychiatric medical board going to investigate this doctor's practices – especially prescribing such dangerouse drugs – shouldn't a psychiatric physician perform some sort of tests over a period of time to determine a proper diagnosis and not just base her decision on what a parent said and observing a patient for an hour? And to boot – prescribing 60 pills and a few days later prescribing more....what kind of explanation did the parent give that would make the doctor approve additional drugs. I sure hope the psychiatric board delves into her practice – could her other patients be at risk?


Kevin Waller   September 15th, 2010 12:08 pm ET

Please inform me as to this Dr.'s qualifications. Is she particularly a pediatrician? Why could the brother-in-law nor his wife have called 911 or social services? Everyone concerned was negligent in some manner or ignorant in the least. May I say idiot savant.The doctor for prescribing, the family for not intervening correctly, and the parents for their manipulation of the system.


Marilyn W   September 15th, 2010 12:20 pm ET

Remember when the school nurse called the Dr? The Rileys immediately tried to change schools...


Violet   September 15th, 2010 12:31 pm ET

Why isn't the doctor being charged with anything, if all of them drugs should not have been perscribed for rebecca, where does the doctor fit in on all of this.


catt   September 15th, 2010 12:43 pm ET

why would a whole family want to be on ss i look at there bed room nice why was child on floor not on bed but floor shes 4when mine are sic i let sleep with me this behavail odd


molly   September 15th, 2010 12:55 pm ET

I am wondering, regarding the Riley case, why the doctor kept on increasing meds without searching for a reason the child was acting out.
the children, all of them, should have been placed in foster care temporarily to see reactions and to see if the bad acting of the 4 year old persisted regardless of whom she was with. at the very least, the child's meds could have been reduced as over medicating is never the solution, shame on the doctor involved for being lead by a lazy, incapable parent who relied on chemicals rather than parenting.


Joel Schmidt   September 15th, 2010 1:15 pm ET

What parent would allow a 4 year old child to take 345 pills in a month.Only a parent who doesnt care about the child at all.I would never allow no matter who prescribed the meds anything like that and give them to my child without a second and third opinions and major justification as to the need for those amounts.Any careing loveing parent would feel the same!As a parent it would be My fault as well as the Doctors for the consequences of such over medication and disregard for the effects of so much medication.


Aura Boreas   September 15th, 2010 1:25 pm ET

The worst part, i think is that this child does NOT appear to have "Fallen through the cracks", but rather ensnared in a trap. Essentially, this case bears ALL the markings of a crime RING. the fact that the DR is not on trial speaks to either governmental complicity or an embarrasingly large problem.

whatever happened to this child, it is endemic, and has been for decades.


RPaul   September 15th, 2010 1:54 pm ET

Dr. Kifuji should have her license taken away. There is no reason to put children that young on medicine.Kifuji doesn't seem to care about her patients just interested in pushing pills and getting her paycheck.
Kifuji should also be on trial for the death of the child


Navy mom   September 15th, 2010 1:54 pm ET

What doctor in their right mind would prescribe such dangerous drugs to any child? I take these drugs and they are strong even for me. The doctor and parents are both quilty of killing this child, my opinion based on the drugs. No child should ever take these kinds of drugs. Children are hard to diagnose for these disorders under the age of 5.


Jennifer   September 15th, 2010 2:24 pm ET

I don't know what is more wrong... this so called Doctor who prescribed such an outragous amount of drugs, with out supported medical, ie, blood work to ensure no damages to the liver or kidneys, or the effects on the heart (to encl her blood pressure monitored). OR the commitee of DOCTORS who reviewed her care of the child and said it was appropriate. A child with this much medication sounds like a child who required hospitalization. Did this doctor even consider reviewing the parents mental status to determine if they were emotionally capable to describe the childs actions. Clearly the mothers action of freely "upping" the meds, should have set of red flags that the parents were irresponsible to administer the meds. And how could ANY REASONBLE person believe that a child could possibly act out under so many meds. Her disreguard for other individuals observation (teachers, neighbors) who spent 6-7 hours aday with the child show negligence. I hope that the DA will re-present to the Grand Jury for crimminal charges of "reckless, disreguard" on this women. This women is a working shame to the medical community and the medical community should take her license and wash their hands of this type of actions on a child under 10yrs of age.


Nicole   September 15th, 2010 2:24 pm ET

This just horrible. Why in the world would a Dr. give this toddler, this amount of meds.? The child is learning basic ways of life. How can you diagnose a toddler with dipolar disorder. All children act out at this age. Her parents should have played with her more and been more involved with her rather than druging her up so they can have peace and quite. As a mother myself of a 13yr old girl and a 5yr old boy there is no way in heck I would even think about giving them those kinds of meds at the age of 4.
I blame both the parents and the Dr., and shame on the parents for not being attentive to the girls needs.


Roberta Lee   September 15th, 2010 2:49 pm ET

I have a PhD in Behavioral Sciences. Here is what I have to say about. Dr. Kifuji

1. What child has not tried to climb out of their crib? Not normal? The Dr. is Crazy!
2. What child does not try to climb all over things? Not normal The Dr. is Crazy
3. Giving a child an adult medication without VERY careful follow up? The Dr. is Crazy.

Children are not static displays, they are energetic, inquisitive, and becoming mobil. This is how they learn. There is NO WAY you can diagnosis a 2 year old with Bipoler or ADHD.

No home study. Only one 45 minute visit before she perscribed an adult medication? She keeps refilling the perscription even though it is evident it is being over used? This is the kind of doctor we DON'T need in our society.

YANK HER LICENSE!!!


Denise   September 15th, 2010 3:02 pm ET

Does or is there a record of this Doctor over prescribing medications or possible death of other children?


Lisa   September 15th, 2010 3:30 pm ET

Aura, you said it perfectly!!!! The entire matter is scarey to me, yet angers me even more. The parents are absolutely GUILTY of being neglectful and RESPONSIBLE for the death of their little girl. However, there are sick and disgusting people like that everywhere, but to have a DR and a governmental system involved and allowing it everyday as well...... THAT is ridiculous! They need to be held responsible and pay for their neglect as well.


Wendy   September 15th, 2010 4:13 pm ET

I've got to believe that these days, one must take a 'pro- active' role in getting diagnosed or prescribed by a physician. Doctors don't make housecalls these days the profession is not exactly what it used to be.
It is the parents JOB to offer all and any of what is going on with the child and communicating this to the physician- thus the physician can correctly prescribe– parents are way to lazy to be involved and really 'parent' the child... on the other hand the physician should be a little wary and to question as they are supposed to be the professionals.
I believe Michael and Caroline are guilty of bad parenting....and thus lazy and guilty of causing this little girls death.... and where was child services throughout all this???


Janet MacPherson   September 15th, 2010 5:03 pm ET

I am glad that Tufts Medical Center is also in the lawsuit with kifuji. I believe ALL the doctors on Tufts payroll needs to be investigated under the RICO ACT. How many others beside her, kifuji are writing prescriptions and taxpayers once again are picking up the tab. What a racket? Pharmaceuticle supply the drugs, Tufts staffers write the presciptions, Taxpayers pick up the tab. Just sad when a human life, especially a childs life just does'nt matter. I have to say I am physical sick with watching IN SESSION today and I want JUSTICE for little Rebecca.


Donna Martin   September 15th, 2010 7:53 pm ET

Now that the two other children are no longer under the "care" of the parents...how are they doing? Are they still on all the meds they were on before? Are they still "acting up"? Does anyone know?


ckesling   September 15th, 2010 11:00 pm ET

she is a cold blooded killer with a license !! and she is crazy to give this child medicine without even seeing her in the office !!! she ought to be in jail.


Pat   September 16th, 2010 9:42 am ET

Without reading all the blogs
I am outraged listening to this Dr.currently on the stand.
There is definately a communication/language barrier problem going on.
I don't understand one second of her testimony, although trying.

How – was it possible that this Psychiatris provided clear direction to the family when I cannot understand her intent.
Why didn't the family have a clue immediately?

.


ginae   September 16th, 2010 12:47 pm ET

She's a medical malpractice suit waiting to happen.


Ellen   September 16th, 2010 1:42 pm ET

Who says this child is four years old? Has anyone ever seen her birth certificate, my feeling, just by looking at her picture, she is older than they are saying. The Forensic Pathologist herself, stated that some of the glands were not the correct size for a chld of her age.


Nancy Dee   September 16th, 2010 7:23 pm ET

It appears that Dr. Kifugi, during today's testimony, when asked about Rebecca Riley wetting herself, began to say she may have combined the children's visits. I'm wondering if the records show she often saw all 3 kids on the same day. Someone needs to see if she was really spending 60 minutes with each kid, or was just billing for it!


noni   September 16th, 2010 10:55 pm ET

this woman should have her medical license revoked. she is ultimately reponsible for this poor child's death. she never asked for proof of the little girls' blood pressure. when she testified today that she "deliberately peed" i litterally screamed at my tv, this is a doctor?


I Believe   September 17th, 2010 2:54 pm ET

I was shocked when I watched her testify. She tried to justify the toxic amount of medications she perscribed by saying "the child could have ran into traffic and died" and "she could have climbed and fallen and died". Based on that every child two years old should be on medication. I hope she is found guilty in the next trail. I don't see how anyone could fail to see that her perscriptions played a huge part in Rebecca Riley's death. She should not keep her license.


Laura Thomas   September 17th, 2010 3:23 pm ET

I am shocked that Tufts would have a physician on their staff who is not board-certified in either pediatrics or psychiatry and, in fact, failed her boards three times. I am disgusted that a so-called panel of her peers did not find her behavior in treating this child to be outside the norm. I think Tufts and Dr. Kifuji are both unethical and certainly show why it is so important to check on the doctors you go to and certainly the ones you entrust your children's care to. It's apparent that university hospitals aren't any better than small community hospitals when it comes to ethics and the quality of care you expect to receive.


kgwyse   September 17th, 2010 5:32 pm ET

I wonder how effectively the parents were able to communicate with this woman? She has such a thick accent. But she could sign her name to a "scrip" and I guess that's all that counted.
Also, she described the kids as acting "hyper" as they came along the hallway to go to her office. Well, they had just been cooped up in a car for over an hour driving to her office. Any kid would need to blow off steam after having been confined for so long.


Suzette Thompson   September 21st, 2010 2:14 pm ET

I agree with people here! The Doctor is suppose to be checking on her patients!! She needs to be brought up on charges!!


Gina   September 24th, 2010 2:45 pm ET

I work in the medical field, and this Quack so-called Doctor shouldn't be allowed to practise medicine at this time. The State is negligent to allow this behavior to go on without repercussions. No qualified Doctor would be able to declare a three or four year old bipolar, and ADHD requiring multiple adult strength sedative based medications in an exam for just an hour. And NO Doctor of quality would allow the parents to keep increasing the dose and not assess the patient face-to-face. She should be in jail with these parents. She took an oath to even have better sense than the parents. The State is a joke, and her Medical Affiliation that issued the letter supporting her is a joke. We refuse to even allow patients to fill Motrin when too early, or taken out of the ordered amount. This was a totally avoidable tragedy.
Shame on the State, and Medical Board for letting her off. the hook.


Timothy Davis   September 24th, 2010 7:28 pm ET

The drugs the doctor was prescribing would have probably been OK if they were used as designed. However this fool of a doctor;made up a drug cocktail that would be dangerous to any human being. Mindless a
4 year old child. It's pretty much common since that when you mix two or more chemicals together you come out with a totally new chemical!
Her being a licensed doctor not knowing that should at least be barred
and her license revoked by the FDA. Plus, the Commonwealth attorney should bring new evidence before the Grand Jury and try seek a new indictment of 2nd degree murder.
The doctor clearly was the real cause of death of this beautiful child, and should have to face the consequences for her actions. As long as she is practicing medicine and prescribing, she is an on going danger to society!


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